| NPI | 1043438740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR ANNE WILSON Podiatrist 703-922-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 0103000949) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-08-08 |