| NPI | 1114162435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL HARMS Owner 812-448-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 41000207) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2010-03-22 |