| NPI | 1164542023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D BUI President 717-559-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC005954) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005954) |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2024-10-08 |