| NPI | 1427105949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CRAIG DAIRMAN President/Medical Director 757-934-0768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VA 0103300887) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-10-10 |