| 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 |