Organization
ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NICELY DPM (OWNER)
(937) 293-8448
Entity
Organization
Contact information
Practice address
8721 N MAIN ST, DAYTON, OH 45415-1331
(937) 264-3150
Mailing address
6200 PLEASANT AVE, SUITE 3, FAIRFIELD, OH 45014-4670
(513) 829-9333
(513) 858-7827
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003238
OH
Other
Enumeration date
05/09/2013
Last updated
02/19/2020
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