| NPI | 1326058132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE H EVANCHO Owner 757-547-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA VA- 0103000375) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2009-12-03 |