| NPI | 1942489232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT I RUSSELL Owner/Doctor 256-249-2212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: AL 124) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: AL 94) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2013-02-27 |