Organization
DPMINNOCENZINROH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY INNOCENZI DPM (OWNER)
(330) 787-2276
Entity
Organization
Contact information
Practice address
505 N MAIN ST, ESKRIDGE, KS 66423-9618
(330) 787-2276
Mailing address
4870 S ASPEN CT, CANFIELD, OH 44406-8469
(330) 787-2276
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
12-00367
KS
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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