| NPI | 1629412671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VAN BREDERODE Owner/Provider 828-766-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-01-10 |