| NPI | 1205040706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON ROGOVIN Co Owner 330-493-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: OH 36-00-1550) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: OH 36-00-1570) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-03-22 |