| NPI | 1487613030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL WINFRED PERSON President 804-732-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: VA 0103000377) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-05-18 |