| NPI | 1902972607 |
|---|---|
| Former Legal Business Name | MARK A GOTFRYD DPM PC |
| Entity Type | Organization |
| Authorized Contact | MARK GOTFRYD President 205-853-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 00109) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-02-01 |