| NPI | 1881742088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ALAN FILCHECK Owner Operating Manager 304-599-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WV 331) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: PA SC0042941) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2012-09-13 |