| NPI | 1033862198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DEMARIA Podiatrist 859-746-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 213ER0200X Podiatrist, Radiology | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2022-04-21 |