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Dr. Benedict A Profera, DPM,MPH
Primary Podiatric Medicine Podiatrist in Salem, Virginia
NPI 1356497622

Benedict A Profera is a Primary Podiatric Medicine Podiatrist based in Salem, VA and is specialized in Primary Podiatric Medicine. Benedict A Profera practices in Salem, VA and has the professional credentials of DPM,MPH. The NPI Number for Benedict A Profera is 1356497622 and holds a License No. 0103000566 (Virginia).

The current practice location address for Benedict A Profera is 1589 Innsbrooke Dr, Salem, VA and can be reached out via phone at 540-389-6267.

Location: 1589 Innsbrooke Dr, Salem, VA, 24153-1785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356497622
Provider Name
Benedict A Profera
Credential
DPM,MPH
Provider Entity Type
Individual
Gender
Male
Address
1589 Innsbrooke Dr, Salem, VA, 24153-1785
Phone Number
540-389-6267
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010265851 05 VA
institution
Provider Business Practice Location Address Details
Address
1589 Innsbrooke Dr
City
Salem
State
Virginia
Zip
24153-1785
Phone Number
540-389-6267
Fax Number
person
Provider Business Mailing Address Details
Address
1589 Innsbrooke Dr
City
Salem
State
Virginia
Zip
24153-1785
Phone Number
540-389-6267
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
0103000566 (Virginia)
Definition
Definition to come...
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