NPI | 1346534047 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN PAUL THRASH Podiatrist 870-535-4850 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AR 162) |
Enumeration Date | 2011-05-31 |
Last Update Date | 2011-06-10 |