| NPI | 1538514492 |
|---|---|
| Doing Business As | SOUTH PENN FOOT, ANKLE AND WOUND CARE SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | JIM MAXKA Sole Owner 717-524-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA sc006213) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-04-30 |