| NPI | 1194036178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C RIVARD President 865-558-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN DPM295) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-08-24 |