| NPI | 1649587122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY INNOCENZI Owner 330-702-0978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: KS 1200367) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |