NPI | 1316360514 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ASHLEY WASHBURN Owner 501-221-2266 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AR 256) |
Enumeration Date | 2014-01-24 |
Last Update Date | 2014-01-24 |