| NPI | 1417202680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK E VARGO Sole Member 440-816-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36-00-2252-V) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |