NPI | 1124132147 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY STEPHAN HOTCHKISS Owner 301-868-6778 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 00370) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2012-12-17 |