| NPI | 1922170919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD DENNIS SCHEIMBERG Preasident 757-255-0647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |