| 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 |