NPI | 1447442603 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLEY FRED HARTLEY Owner/ Practioner 2814-798-5311 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 0691) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2007-10-30 |