| NPI | 1881963239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MACKEY Doctor Of Podiatric Medicine/Owner 855-851-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 1973) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: ID P-212) |
| 213E00000X Podiatrist (Licence: HI PO-194) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NM 338) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NV 1105) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E4958) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CO 708) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IA 840) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NE 328) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: SD 199) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: ND 61) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MN 822) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WI 972-25) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: UT 7990856-0501) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC006123) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2013-01-09 |