| NPI | 1407096571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A RAYMOND President 814-943-3668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| 213EP1101X Podiatrist Primary Podiatric Medicine | |
| 213ER0200X Podiatrist Radiology | |
| 213ES0000X Podiatrist Sports Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 213ES0131X Podiatrist Foot Surgery | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2023-06-20 |