| NPI | 1285353508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRIS WOOD Managing Member 808-300-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-02-14 |