| NPI | 1700440401 |
|---|---|
| Doing Business As | RIVERSIDE FOOT AND ANKLE |
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN ONDERKO Doctor 478-200-7143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2023-03-15 |