NPI | 1093914020 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGG D CORRIGAN Owner 563-323-9876 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IA 473) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2007-10-31 |