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 |