| NPI | 1265459606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M. HENRY President 717-334-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC004183R) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MD 01223) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01223) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC004183R) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2016-03-23 |