NPI | 1245271493 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM MCGRATH Credentialing 330-479-5428 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH oh36002696) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2013-03-11 |