| NPI | 1801165618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR A DAVY Owner 614-539-4964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OH 36-003396) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2012-06-18 |