| NPI | 1902025638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R KING Co Owner 802-359-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: VT L0018421) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-06-10 |