| NPI | 1922276476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYMON A STEVENSON Business Owner 410-355-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2022-09-02 |