NPI | 1063595031 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN L. SALAK, D.P.M., P.C. Podiatrist 570-823-0187 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC003648L) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2008-01-31 |