| NPI | 1477805786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD A KRIGER Owner 703-330-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: VA 213ES0131X) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2014-09-19 |