| NPI | 1225055130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A HARRISON President 301-739-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MD A1058) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-09-06 |