Organization
OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Active
Organization
OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DIDOMENICO DPM (MANAGING PARTNER)
(330) 629-8800
Entity
Organization
Contact information
Practice address
315 STRUTHERS LIBERTY RD, CAMPBELL, OH 44405-1973
(330) 750-9187
(330) 755-8564
Mailing address
8175 MARKET ST, YOUNGSTOWN, OH 44512-6244
(330) 629-8800
(330) 758-4914
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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