person
David L Pontell, DPM
Foot & Ankle Surgery Podiatrist in Fairfax, Virginia
NPI 1457352239

David L Pontell is a Foot & Ankle Surgery Podiatrist based in Fairfax, VA and is specialized in Foot & Ankle Surgery. David L Pontell practices in Fairfax, VA and has the professional credentials of DPM. The NPI Number for David L Pontell is 1457352239 and holds a License No. 0103000756 (Virginia).

The current practice location address for David L Pontell is 3025 Hamaker Ct, Fairfax, VA and can be reached out via phone at 703-849-8400 and via fax at 703-849-8448.

Location: 3025 Hamaker Ct, Fairfax, VA, 22031-2237
person
Provider Profile Details
NPI Number
1457352239
Provider Name
David L Pontell
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3025 Hamaker Ct, Fairfax, VA, 22031-2237
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
059115 01 ANTHEM
3307-0001 01 CAREFIRST
22674 01 MDIPA OPT CHOICE ALLIANCE
2700107 01 UNITED HEALTHCARE
09320300 05 VA
institution
Provider Business Practice Location Address Details
Address
3025 Hamaker Ct
City
State
Zip
22031-2237
Phone Number
703-849-8400
Fax Number
703-849-8448
person
Provider Business Mailing Address Details
Address
3025 Hamaker Ct
City
State
Zip
22031-2237
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
Foot & Ankle Surgery
Taxonomy
License No.
0103000756 (Virginia)
Definition
Definition to come...
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