NPI | 1124414545 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT L VAN BREDERODE Owner/Provider 828-766-7667 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
213ES0131X Podiatrist Foot Surgery | |
Enumeration Date | 2015-04-13 |
Last Update Date | 2020-01-10 |