| NPI | 1730112475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P MURRAY Owner 434-979-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: VA 0103300932) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: VA 0103000815) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-11-06 |