| NPI | 1861642654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN STOLLER President 918-502-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E 4700) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2014-10-13 |