NPI | 1285804153 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E CREIGHTON Member 813-254-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
213ES0131X Podiatrist, Foot Surgery | |
213E00000X Podiatrist | |
Enumeration Date | 2008-03-07 |
Last Update Date | 2018-10-11 |