| NPI | 1689612368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN RICHARD SNYDER Member 434-979-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: VA 0103001051) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-10-30 |