| NPI | 1306816137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN G GOLD Owner 501-224-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2019-01-04 |