person
Robert M Hallivis, DPM
Sports Medicine Podiatrist in Fairfax, Virginia
NPI 1215938006

Robert M Hallivis is a Sports Medicine Podiatrist based in Fairfax, VA and is specialized in Sports Medicine. Robert M Hallivis practices in Fairfax, VA and has the professional credentials of DPM. The NPI Number for Robert M Hallivis is 1215938006 and holds a License No. 0103300812 (Virginia).

The current practice location address for Robert M Hallivis is 3998 Fair Ridge Dr Ste 280, Fairfax, VA and can be reached out via phone at 703-849-8400 and via fax at 703-849-8448.

Location: 3998 Fair Ridge Dr Ste 280, Fairfax, VA, 22033-2907
person
Provider Profile Details
NPI Number
1215938006
Provider Name
Robert M Hallivis
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3998 Fair Ridge Dr Ste 280, Fairfax, VA, 22033-2907
Phone Number
703-849-8400
Fax Number
703-849-8448
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009300082 05 VA
1984179 01 UNITED HEALTH CARE
281433 01 MDIPA
140164 01 ANTHEM
3307-0003 01 CAREFIRST
institution
Provider Business Practice Location Address Details
Address
3998 Fair Ridge Dr Ste 280
City
State
Zip
22033-2907
Phone Number
703-849-8400
Fax Number
703-849-8448
person
Provider Business Mailing Address Details
Address
3998 Fair Ridge Dr Ste 280
City
State
Zip
22033-2907
Phone Number
703-849-8400
Fax Number
703-849-8448
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
0103300812 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
0103300812 (Virginia)
Definition
Definition to come...
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