Organization
BETSY BROGAN DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY A BROGAN DPM (PODIATRIST)
(513) 381-4042
Entity
Organization
Contact information
Practice address
2925 VERNON PL, SUITE 302, CINCINNATI, OH 45219-2425
(513) 381-4042
(513) 345-6632
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
36003262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3089385
—
OH
Enumeration date
09/03/2010
Last updated
03/21/2016
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