| NPI | 1750552600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M BLOCK President 270-684-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 0247) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2017-06-20 |