| NPI | 1699866673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SPARROW Owner 330-310-6931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OH 36. 002744) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |