| NPI | 1376964627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMAS HALL Member/Owner 812-483-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA 200062) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-07-11 |