NPI | 1225183452 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE HOWARD GOLDSTEIN Owner 270-684-1660 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: KY 162) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-08-22 |