| NPI | 1225399363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA KAY BAYNHAM Partner 937-597-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OH 03618) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2013-08-15 |