| NPI | 1053796268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN G DOWLING Owner 301-777-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01258) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 01258) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-31 |