| NPI | 1003097395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD R. RECKO CEO 910-762-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 213) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |