| NPI | 1457640815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR COATES President 703-361-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103000741) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2014-09-09 |