| NPI | 1306009535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JOSEPH VOLFRE Owener 330-733-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36002182-V) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-16 |