| NPI | 1184833386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN MARTIN Office Manager 740-695-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003308M) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-10-31 |