| NPI | 1437580123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CRISPELL Owner 215-512-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005698) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2014-03-05 |