| NPI | 1588697767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA L CHRISTY Office Manager 740-369-3071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36002387) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36002522) |
| 213E00000X Podiatrist (Licence: OH 36003279) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-03-02 |