| NPI | 1356733554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROBERT DUSHACK CEO 724-309-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3600) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2016-08-17 |