| 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 |