| NPI | 1417275660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD KEITH CRISS President 301-645-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MD 00596) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2011-07-14 |