| NPI | 1225466485 |
|---|---|
| Doing Business As | LEONARDTOWN FOOT & ANKLE |
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS VANFOSSON President 301-862-3338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01346) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MD 00975) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01511) | |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |