NPI | 1134365786 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL H SCHUSTEK President 434-295-4443 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: VA 0103000589) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0103300834) |
Enumeration Date | 2009-01-05 |
Last Update Date | 2013-02-01 |