| 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 |