| NPI | 1922164409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A RUIZ Manager 814-833-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC004630L) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2018-08-10 |