| NPI | 1346540515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SMITH Owner 757-499-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: VA 0103001054) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |