| NPI | 1861669970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA R. RICHMOND Owner 937-228-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003457) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2010-05-03 |