NPI | 1043383706 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD ALEX DELLINGER Podiatrist 501-534-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AR 167) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AR 112) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2011-07-25 |