| NPI | 1134397136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JAMES JOHNSON President/Sole Shareholder 570-249-1021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |