| NPI | 1366651754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PINK P WIMBISH Owner 540-982-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103000859) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-11-23 |