| NPI | 1548677636 |
|---|---|
| Doing Business As | ST. ELIZABETH PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | GLENN LOOMIS CEO 859-344-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |