Organization
PREMIER HEALTH SPECIALISTS INC
Active
Other names
Advanced Ankle and Foot Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PRUNIER (CEO/PRESIDENT)
(937) 499-8205
Entity
Organization
Contact information
Practice address
1 WYOMING ST, STE 3115, DAYTON, OH 45409-2722
(937) 208-6745
(937) 208-6746
Mailing address
1 WYOMING ST, STE 3115, DAYTON, OH 45409-2722
(937) 208-6745
(937) 208-6746
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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