| NPI | 1225220379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LOGAN GARDNER Podiatrist 606-248-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: KY 30924) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2011-10-17 |