| NPI | 1083932438 |
|---|---|
| Former Legal Business Name | FOOTPRINT PODIATRY CONSULTANTS, LLC |
| Entity Type | Organization |
| Authorized Contact | MICHANGELO DARREN SCRUGGS Podiatrist/CEO 202-506-1001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: DC PO1000031) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-08-02 |