| NPI | 1114196235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE POSTAL Owner 301-681-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2024-06-21 |