| NPI | 1396928263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS HOVANCSEK Owner/President 360-533-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH PO00000531) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |