| NPI | 1912079377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B WILPS Owner 304-797-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WV 00238) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-06-03 |