| NPI | 1841458684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARY ANTERO Doctor, Business Owner 205-758-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: AL 136) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2018-03-20 |