NPI | 1477959773 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES E BENEDICT Owner 330-673-3505 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OH 36002148) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36002148) |
213ES0131X Podiatrist, Foot Surgery (Licence: OH 36002148) | |
Enumeration Date | 2014-11-13 |
Last Update Date | 2014-11-13 |