| NPI | 1730532755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC EDWARD DIPIERRO Owner 937-637-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OH 36003446) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2020-09-21 |