Organization
PODIATRIC SURGI CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES REVELAS D.P.M. (OWNER)
(419) 663-3338
Entity
Organization
Contact information
Practice address
64 EXECUTIVE DR, NORWALK, OH 44857-9568
(419) 663-3338
Mailing address
64 EXECUTIVE DR, NORWALK, OH 44857-9568
(419) 663-3338
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
OH
Other
Enumeration date
06/27/2005
Last updated
07/21/2022
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