| NPI | 1992715767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE A DOOLEY Owner / President Of Corporation 937-433-9821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.001778) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-03-06 |