| NPI | 1083148944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY B DEL PRINCE Dpm 440-998-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OH 36.002972) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |