| NPI | 1376314393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DITRA STANFORD-SCRUGGS Podiatrist 410-653-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |