| NPI | 1346701943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMIDELE OLUGBENGA OLUPONA Owner/Physician 202-321-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2022-10-21 |