| NPI | 1497957500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT I RUSSELL Owner 205-933-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: AL 94) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: AL 124) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2013-02-28 |