| NPI | 1689771024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT MENDELSOHN Owner 703-273-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: VA 727) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-11-14 |