NPI | 1639345457 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY R ANTHON Physician/Owner 800-626-2468 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1813) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2012-02-27 |