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Providence Medical Group
Podiatrist in Moraine, Ohio
NPI 1811304595

Providence Medical Group is a Podiatrist based in Moraine, OH. Providence Medical Group practices in Moraine, OH. The NPI Number for Providence Medical Group is 1811304595 and holds a License No. 36.003657 (Ohio).

The current practice location address for Providence Medical Group is 2912 Springboro Rd, Moraine, OH and can be reached out via phone at 937-297-8999 and via fax at 937-297-4852.

Location: 2912 Springboro Rd, Moraine, OH, 45439-1674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811304595
Provider Name
Providence Medical Group
Credential
Provider Entity Type
Organization
Address
2912 Springboro Rd, Moraine, OH, 45439-1674
Phone Number
937-297-8999
Fax Number
937-297-4852
Provider Enumeration Date
07/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1285952937 01 OH INDIVIDUAL NPI
2380294 05 OH
0083030 05 OH
institution
Provider Business Practice Location Address Details
Address
2912 Springboro Rd
City
Moraine
State
Ohio
Zip
45439-1674
Phone Number
937-297-8999
Fax Number
937-297-4852
person
Provider Business Mailing Address Details
Address
2912 Springboro Rd
City
Moraine
State
Ohio
Zip
45439-1674
Phone Number
937-297-8999
Fax Number
937-297-4852
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
36.003657 (Ohio)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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