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 |