| NPI | 1134501885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE L MATTEO President 330-372-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 003719) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2019-02-12 |