| NPI | 1538341136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. ATWELL Owner 740-397-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: OH 36001945) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2015-04-23 |