| NPI | 1942215645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL LOUIS LUKOFF President 671-479-7921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ER0200X Podiatrist, Radiology | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-05-01 |