NPI | 1679609978 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J DEPORTER President 205-759-2851 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: AL 143) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2008-05-23 |