| NPI | 1336502137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA JANE PRICE Podiatrist 567-712-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO.60626134) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |