| NPI | 1043577281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GARY MORGAN Owner 757-604-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103001007) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |