| NPI | 1760151088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMIDELE O OLUPONA CEO 202-321-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |