| NPI | 1295225175 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MARSHALL SEAT Owner 812-878-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 327) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-06-26 |