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Individual

DR. JAMES L CANTERBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5156 E MAIN ST, COLUMBUS, OH 43213-2424
(614) 702-7655
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(614) 702-7655

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-00-2825-C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0938347
OH
05
1881709905
WI
05
201326650
IN
01
P01458521
RAILROAD MEDICARE
WI
01
P01555868
RAILROAD MEDICARE
IN
Enumeration date
08/20/2006
Last updated
08/16/2021
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