| NPI | 1902270820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT SMITH President & CEO 410-878-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01466) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |