| NPI | 1982890943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO PACE Owner 703-360-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: VA 0103000921) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103300837) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |