| NPI | 1760401921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA JANE DISABATO Practice Administrator 434-962-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-02-02 |