| NPI | 1063719698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J STANOS Owner 614-493-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: OH 36.003256) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2014-03-12 |