| NPI | 1568911337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HENRY ALLISON Owner 765-453-5892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001133A) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-10-05 |