| NPI | 1922152024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL F BYRD Owner 541-276-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00171) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR DP00295) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR DP00171) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR DP00357) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00295) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00357) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-03-04 |