| NPI | 1063757235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TODD WEISS Physician 804-346-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: VA 0103001050) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |