| NPI | 1942472964 |
|---|---|
| Doing Business As | UPSTATE PODIATRY |
| Entity Type | Organization |
| Authorized Contact | REBECCA P FUGEL Practice Administrator 864-399-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: SC 121) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2010-10-07 |