NPI | 1033399688 |
---|---|
Doing Business As | BULL RUN FOOT CLINIC |
Entity Type | Organization |
Authorized Contact | THERESA LYNN COATES Practice Administrator 703-368-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2007-11-13 |
Last Update Date | 2007-11-13 |