| NPI | 1982176657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ERIC BALL President 270-421-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2023-08-14 |