| NPI | 1871771212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT R BURRESS Owner 812-477-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IN 0700515A) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2011-08-02 |