NPI | 1811014608 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE LEWIS Owner 740-264-7064 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36-00-2864) |
Enumeration Date | 2007-03-25 |
Last Update Date | 2011-02-16 |