Organization
ARROWHEAD PODIATRY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU BORTEL (DPM)
(419) 893-5757
Entity
Organization
Contact information
Practice address
5757 MONCLOVA RD, SUITE 5, MAUMEE, OH 43537-1863
(419) 893-5757
Mailing address
5757 MONCLOVA RD, SUITE 5, MAUMEE, OH 43537-1863
(419) 893-5757
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003428
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2882868
—
OH
01
—
CB1022
RAILROAD MEDICARE
OH
Enumeration date
10/19/2007
Last updated
11/05/2024
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