| Organization Name: | WHEELING FOOT CLINIC |
| NPI Number: | 1952736357 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID J ROMANO (MANAGING EMPLOYEE) |
| Mailing Address: | 903 Wheeling Ave Glen Dale |
| State: | WV US |
| Postal Code: | 260381662 |
| Phone Number: | 3048435066 |
| Fax Number: | 3048435067 |
| NPI Enumeration Date: | 09/05/2013 |
| NPI Last Update Date: | 03/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 10417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |