institution
Footprint Podiatry Consultants, Llc
Podiatric Clinic/Center in Washington, District of Columbia
NPI 1083932438

Footprint Podiatry Consultants, Llc is a Podiatric Clinic/Center based in Washington, DC and is specialized in Podiatric. Footprint Podiatry Consultants, Llc practices in Washington, DC. The NPI Number for Footprint Podiatry Consultants, Llc is 1083932438 and holds a License No. PO1000031 (District of Columbia).

The current practice location address for Footprint Podiatry Consultants, Llc is 1328 Southern Ave Se, Washington, DC and can be reached out via phone at 202-506-1001 and via fax at 202-506-1008.

Location: 1328 Southern Ave Se, Washington, DC, 20011-4228
institution
Provider Profile Details
NPI Number
1083932438
Provider Name
Footprint Podiatry Consultants, Llc
Credential
Provider Entity Type
Organization
Address
1328 Southern Ave Se, Washington, DC, 20011-4228
Phone Number
202-506-1001
Fax Number
202-506-1008
Provider Enumeration Date
05/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
306106 01 DC UNISON
947AMD-MD 01 DC CAREFIRST BC/BS
0000289842002 01 DC UNITED HEALTHCARE
050785700 05 DC
J892 01 DC CAREFIRST BC/BS
31290 01 DC DC CHARTERED HEALTH
institution
Provider Business Practice Location Address Details
Address
1328 Southern Ave Se
City
State
Zip
20032-4689
Phone Number
202-506-1001
Fax Number
202-506-1008
person
Provider Business Mailing Address Details
Address
1328 Southern Ave Se
City
State
Zip
20032-4689
Phone Number
202-506-1001
Fax Number
202-506-1008
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
PO1000031 (District of Columbia)
Definition
Definition to come...
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