| NPI | 1295371409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD J. SCARBROUGH Owner 270-231-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2022-08-12 |