| NPI | 1922303056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASTRID AVIS Doctor Of Podiatric Medicine 717-672-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: PA Sc 006160) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA SC006166) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2016-03-17 |