| NPI | 1457910010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNY RICKARDS Owner/Foot And Ankle Surgeon 857-318-1675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |