NPI | 1730363748 |
---|---|
Entity Type | Organization |
Authorized Contact | YONG S. CHAE President/Owner 765-362-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000857A) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000857A) |
Enumeration Date | 2007-12-27 |
Last Update Date | 2024-05-01 |