NPI | 1508263781 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM TOMASZEWSKI President 336-763-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2014-12-03 |
Last Update Date | 2015-09-01 |