| NPI | 1235867300 |
|---|---|
| Doing Business As | CRESTWOOD PODIATRY AND WOUND CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | EDWARD A SHARRER Owner 963-671-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |