Organization Name: | BYRON PLC |
NPI Number: | 1346426160 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT E BYRON (PHYSICIAN AND SURGEON) |
Mailing Address: | 11518 Highland Rd Hartland |
State: | MI US |
Postal Code: | 483532722 |
Phone Number: | 8106327800 |
Fax Number: | 8106327877 |
NPI Enumeration Date: | 01/10/2008 |
NPI Last Update Date: | 01/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SB001901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |