| NPI | 1821460676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN D BAIZE Owner 870-834-5249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AR 264) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2021-08-24 |