| NPI | 1023742608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MASCIOLA Executive Director 614-895-8747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |