| NPI | 1376758573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RICHARD WRIGHT President 804-222-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103000393) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0103000393) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-01-15 |