| NPI | 1518141035 |
|---|---|
| Doing Business As | TRI-STATE PODIATRY |
| Entity Type | Organization |
| Authorized Contact | RICHARD S. DONELA Physician/Owner 802-442-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: MA 1602) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2009-04-03 |