| NPI | 1831376508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ROBERT COHEN Podiatrist 228-832-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MS 80055) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-29 |