| NPI | 1629789417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER H HANNA CEO 833-735-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-13 |