| NPI | 1174680540 |
|---|---|
| Doing Business As | LEESBURG FOOT AND ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | DONNA JENS Practice Manager 703-368-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-09-30 |