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 |