NPI | 1336660109 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERENE JAMES BOND Podiatrist 757-408-6765 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01621) |
Enumeration Date | 2017-07-03 |
Last Update Date | 2018-03-17 |