| NPI | 1659347540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY L SNEED Practice Administrator 304-599-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2022-04-29 |