| NPI | 1003102385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J DEPORTER President 205-394-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: AL 143) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |