NPI | 1467151852 |
---|---|
Doing Business As | AUBURN PODIATRY SERVICES |
Doing Business As | AUBURN ORTHOPAEDIC SERVICES |
Entity Type | Organization |
Authorized Contact | KATHERINE CONWAY-RUSSELL Provider Enrollment Specialist 315-253-1838 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2023-02-24 |
Last Update Date | 2023-02-24 |