| NPI | 1164604922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARILYNN FELTNER Sole Proprietor 304-453-5458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |