| NPI | 1801251095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN REYES Podiatrist 304-481-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NV 2011) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |