| NPI | 1912951088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE PASTRICK Owner/President 513-256-2032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36-00-2501) |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2018-12-13 |