| NPI | 1568840882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE GUENTHER Billing Manager 800-394-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 311) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |