Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1891854931 |
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| LBN Legal business name | DOUGLAS O'HEIR, D.P.M. | ||||||||||||||||||||||||||||||||
| Authorized official | DOUGLAS O'HEIR - (OWNER) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||
| Enumeration date | 12/06/2006 | ||||||||||||||||||||||||||||||||
| Last updated | 08/22/2011 - About 15 years ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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