| NPI | 1154520336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA TRAN Practice Administrator 614-304-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36002316P) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36002329W) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36002479W) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003275L) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003204D) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003465) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2019-10-07 |