institution
Tidewater Foot & Ankle Center, Pc
Foot & Ankle Surgery Podiatrist in Virginia Beach, Virginia
NPI 1497813158

Tidewater Foot & Ankle Center, Pc is a Foot & Ankle Surgery Podiatrist based in Virginia Beach, VA and is specialized in Foot & Ankle Surgery. Tidewater Foot & Ankle Center, Pc practices in Virginia Beach, VA. The NPI Number for Tidewater Foot & Ankle Center, Pc is 1497813158 and holds a License No. (Virginia).

The current practice location address for Tidewater Foot & Ankle Center, Pc is 760 Independence Blvd, Virginia Beach, VA and can be reached out via phone at 757-497-7575.

Location: 760 Independence Blvd, Virginia Beach, VA, 23471-9350
institution
Provider Profile Details
NPI Number
1497813158
Provider Name
Tidewater Foot & Ankle Center, Pc
Credential
Provider Entity Type
Organization
Address
760 Independence Blvd, Virginia Beach, VA, 23471-9350
Phone Number
757-497-7575
Fax Number
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480000051 01 VA MEDICARE ID
9301658 05 VA
institution
Provider Business Practice Location Address Details
Address
760 Independence Blvd
City
State
Zip
23455-6206
Phone Number
757-497-7575
Fax Number
person
Provider Business Mailing Address Details
Address
760 Independence Blvd
City
State
Zip
23455-6206
Phone Number
757-497-7575
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
()
Definition
Definition to come...
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