NPI | 1396932695 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA W KEYES Podiatrist 765-453-3861 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001003A) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2014-09-09 |