NPI | 1275748337 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DIRK HOLLANDER Podiatrist Owner 707-578-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E2845) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2019-04-11 |