| NPI | 1750327268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY SANDERS President 410-493-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: DE E10000178) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-06-30 |