| NPI | 1427473206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A WILHELMS President 540-772-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: VA 0103000686) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |