| NPI | 1194909945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN RANDALL POLUN Owner 202-966-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DC PO1000050) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2024-06-11 |