NPI | 1740887033 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN WELLS Owner 844-777-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 171100000X Acupuncturist |
Enumeration Date | 2020-10-08 |
Last Update Date | 2025-09-19 |