| NPI | 1558536961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE KENNETH MARINO President 804-378-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103000786) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |