| NPI | 1215334966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE L HALL-JASPER Owner 216-246-7958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WV 10421) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2015-03-19 |