NPI | 1295992873 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK J EDMUNDS President 270-885-1203 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00294) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2016-03-22 |