| NPI | 1215255120 |
|---|---|
| Doing Business As | 1ST STEP DIABETES WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | RON R. OWENS C.E.O./President 410-779-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0058521) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MD 00933) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-12-08 |