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Mr. Benjamin R Proto, DPM
Podiatrist in Newport News, Virginia
NPI 1073506291

Benjamin R Proto is a Podiatrist based in Newport News, VA. Benjamin R Proto practices in Newport News, VA and has the professional credentials of DPM. The NPI Number for Benjamin R Proto is 1073506291 and holds a License No. 0103300835 (Virginia).

The current practice location address for Benjamin R Proto is 860 Omni Blvd, Newport News, VA and can be reached out via phone at 757-327-0657 and via fax at 757-327-0658.

Location: 860 Omni Blvd, Newport News, VA, 23606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073506291
Provider Name
Benjamin R Proto
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
860 Omni Blvd, Newport News, VA, 23606
Phone Number
757-327-0657
Fax Number
757-327-0658
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073506291 05 VA
236542 01 VA ANTHEM PROVIDER NUMBER
9304797 05 VA
58381 01 VA OPTIMA PROVIDER NUMBER
394596 01 VA MDIPA/MAMSI PROVIDER NUM
institution
Provider Business Practice Location Address Details
Address
860 Omni Blvd
City
Newport News
State
Virginia
Zip
23606
Phone Number
757-327-0657
Fax Number
757-327-0658
person
Provider Business Mailing Address Details
Address
860 Omni Blvd
City
Newport News
State
Virginia
Zip
23606
Phone Number
757-327-0657
Fax Number
757-327-0658
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
0103300835 (Virginia)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
0103300835 (Virginia)
Definition
Definition to come...
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