| NPI | 1013386135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MAY President 779-333-7419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005616) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2025-01-03 |