NPI | 1023432853 |
---|---|
Doing Business As | PROGRESSIVE PODIATRY |
Entity Type | Organization |
Authorized Contact | BRYAN V FALLIS Owner 859-331-2440 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2014-02-14 |
Last Update Date | 2020-01-29 |