| NPI | 1639575012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F VAIL Podiatrist 419-423-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: OH OH2326) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OH OH2326) |
| 213ES0131X Podiatrist Foot Surgery (Licence: OH OH2326) | |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |