| NPI | 1861676389 |
|---|---|
| Former Legal Business Name | TRI-STATE PODIATRY |
| Entity Type | Organization |
| Authorized Contact | RICHARD S DONELA Physician/Owner 802-442-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: VT 89) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2009-04-03 |