| NPI | 1912372855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIREN MAKWANA Owner 405-921-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: NJ 25MD00319400) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |