| NPI | 1861746059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL WINFRED PERSON President/Podiatrist 804-732-1211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0103000377) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |