NPI | 1164751418 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE G BLANK Owner 740-695-4188 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36-00-2569-B) |
Enumeration Date | 2009-12-16 |
Last Update Date | 2009-12-16 |