| NPI | 1306379714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALLISON Dpm/Owner 563-219-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |