| NPI | 1174968218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DONATELLI Owner 304-487-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WV 00363) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2023-11-07 |