| NPI | 1033175690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY ROSEN President 205-330-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2007-07-10 |