| NPI | 1407040025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY FOOT EAKIN Office Biller 181-436-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC003540L) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2020-12-22 |