| NPI | 1497957120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R CRUEL Podiatrist Owner 601-981-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MS 80152) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-08-19 |