| NPI | 1548772767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL NAFUS Credntialing 570-901-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: FL PO3939) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-11-10 |