| NPI | 1548222912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMA L ALLERS Revenue Director 410-879-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 2086S0129X |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2022-12-13 |