| NPI | 1215914395 |
|---|---|
| Doing Business As | BECKLEY FOOT & ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM BERNEBURG President Owner 304-253-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WV 00325) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2008-09-29 |