| NPI | 1316978729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY L. BLAND Pres. 757-562-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103001047) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-02-24 |