| NPI | 1609050723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE T CHO Member 757-427-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103300886) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: VA 0103300885) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2012-07-11 |