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Dr. Samuel Winfred Person, DPM
Primary Podiatric Medicine Podiatrist in Petersburg, Virginia
NPI 1154324879

Samuel Winfred Person is a Primary Podiatric Medicine Podiatrist based in Petersburg, VA and is specialized in Primary Podiatric Medicine. Samuel Winfred Person practices in Petersburg, VA and has the professional credentials of DPM. The NPI Number for Samuel Winfred Person is 1154324879 and holds a License No. 0103000377 (Virginia).

The current practice location address for Samuel Winfred Person is 2020 Wakefield Ave, Petersburg, VA and can be reached out via phone at 804-732-1211 and via fax at 804-733-5946.

Location: 2020 Wakefield Ave, Petersburg, VA, 23805-2112
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Provider Profile Details
NPI Number
1154324879
Provider Name
Samuel Winfred Person
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2020 Wakefield Ave, Petersburg, VA, 23805-2112
Phone Number
804-732-1211
Fax Number
804-733-5946
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9331409 05 VA
institution
Provider Business Practice Location Address Details
Address
2020 Wakefield Ave
City
State
Zip
23805-2112
Phone Number
804-732-1211
Fax Number
804-733-5946
person
Provider Business Mailing Address Details
Address
2020 Wakefield Ave
City
State
Zip
23805-2112
Phone Number
804-732-1211
Fax Number
804-733-5946
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
0103000377 (Virginia)
Definition
Definition to come...
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