NPI | 1396749115 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA KNOX DUMM Podiatrist 814-472-4919 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC004163R) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2011-09-16 |