institution
Gary Gregasavitch, Dpm, Pc
Podiatric Clinic/Center in Lansdowne, Virginia
NPI 1215047352

Gary Gregasavitch, Dpm, Pc is a Podiatric Clinic/Center based in Lansdowne, VA and is specialized in Podiatric. Gary Gregasavitch, Dpm, Pc practices in Lansdowne, VA. The NPI Number for Gary Gregasavitch, Dpm, Pc is 1215047352 and holds a License No. 0103300881 (Virginia).

The current practice location address for Gary Gregasavitch, Dpm, Pc is 44055 Riverside Pkwy, Lansdowne, VA and can be reached out via phone at 703-858-3211 and via fax at 703-858-3212.

Location: 44055 Riverside Pkwy, Lansdowne, VA, 20176-5179
institution
Provider Profile Details
NPI Number
1215047352
Provider Name
Gary Gregasavitch, Dpm, Pc
Credential
Provider Entity Type
Organization
Address
44055 Riverside Pkwy, Lansdowne, VA, 20176-5179
Phone Number
703-858-3211
Fax Number
703-858-3212
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215047352 01 VA NPI- CLINIC
1316992381 01 NPI
010294148 05 VA
institution
Provider Business Practice Location Address Details
Address
44055 Riverside Pkwy
City
State
Zip
20176-5179
Phone Number
703-858-3211
Fax Number
703-858-3212
person
Provider Business Mailing Address Details
Address
44055 Riverside Pkwy
City
State
Zip
20176-5179
Phone Number
703-858-3211
Fax Number
703-858-3212
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
0103300881 (Virginia)
Definition
Definition to come...
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