NPI | 1285322735 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL WHITE Gm 815-846-1351 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 213E00000X Podiatrist |
363L00000X Nurse Practitioner | |
Enumeration Date | 2023-04-24 |
Last Update Date | 2024-05-02 |