| NPI | 1811372113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ARTHUR OSTER Owner 740-258-3825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CO 261QP1100X) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2016-05-06 |