NPI | 1205066834 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH LYNN COOK President 440-669-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003231) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OH 36003231) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2009-07-16 |