| NPI | 1285711598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S WILSON Authorized Official 614-239-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-08-25 |