| NPI | 1225307309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN K MAUSER President 502-458-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00176) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2016-12-05 |