| NPI | 1720092182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELITA R REYES Podiatrist/Surgeon 330-746-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003113R) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-03-21 |