| NPI | 1801013115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T CANAVAN Physician Owner 434-799-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VA 0103 000583) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2013-03-29 |