| NPI | 1235337437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA RICHARDSON Office Manager 757-873-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103300928) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2009-10-28 |