| NPI | 1710033345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF A KLEIN Owner 866-228-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IA 00540) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IA 00540) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-01-10 |