NPI | 1154648863 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL JOHN RYBKA President/ Owner 207-829-6463 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: ME POD233) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2010-04-21 |