NPI | 1194957993 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOT FRANCIS BERTOLO Sole Member Of LLC 614-824-5336 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003201) |
Enumeration Date | 2009-08-13 |
Last Update Date | 2012-10-23 |