NPI | 1255805446 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH NEWEY Podiatrist 330-623-6680 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
261QP1100X Clinic/Center, Podiatric | |
Enumeration Date | 2019-01-22 |
Last Update Date | 2021-12-01 |