NPI | 1831306711 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN P MIKETA Owner 919-557-5148 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-05-17 |
Last Update Date | 2008-08-05 |