institution
Personal Footcare Llc
Primary Podiatric Medicine Podiatrist in Petersburg, Virginia
NPI 1487613030

Personal Footcare Llc is a Primary Podiatric Medicine Podiatrist based in Petersburg, VA and is specialized in Primary Podiatric Medicine. Personal Footcare Llc practices in Petersburg, VA. The NPI Number for Personal Footcare Llc is 1487613030 and holds a License No. 0103000377 (Virginia).

The current practice location address for Personal Footcare Llc 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
institution
Provider Profile Details
NPI Number
1487613030
Provider Name
Personal Footcare Llc
Credential
Provider Entity Type
Organization
Address
2020 Wakefield Ave, Petersburg, VA, 23805-2112
Phone Number
804-732-1211
Fax Number
804-733-5946
Provider Enumeration Date
03/22/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30015890910001 05 VA
009331409 05 VT
30015176580001 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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