NPI | 1922009703 |
---|---|
Former Legal Business Name | WOODBURN PODIATRY CENTER |
Entity Type | Organization |
Authorized Contact | DAVID L PONTELL President 703-849-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2005-08-03 |
Last Update Date | 2011-09-07 |