NPI | 1033315346 |
---|---|
Doing Business As | GREENWOOD FOOT CLINIC |
Entity Type | Organization |
Authorized Contact | MARK A LAZAR Owner 317-881-0788 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000591) |
Enumeration Date | 2007-06-23 |
Last Update Date | 2015-06-29 |