institution
Manassas Foot Clinic Inc
Foot Surgery Podiatrist in Manassas, Virginia
NPI 1578637633

Manassas Foot Clinic Inc is a Foot Surgery Podiatrist based in Manassas, VA and is specialized in Foot Surgery. Manassas Foot Clinic Inc practices in Manassas, VA. The NPI Number for Manassas Foot Clinic Inc is 1578637633 and holds a License No. 0103001009 (Virginia).

The current practice location address for Manassas Foot Clinic Inc is 8704 Rolling Rd, Manassas, VA and can be reached out via phone at 703-361-3132 and via fax at 703-368-0291.

Location: 8704 Rolling Rd, Manassas, VA, 20110-4253
institution
Provider Profile Details
NPI Number
1578637633
Provider Name
Manassas Foot Clinic Inc
Credential
Provider Entity Type
Organization
Address
8704 Rolling Rd, Manassas, VA, 20110-4253
Phone Number
703-361-3132
Fax Number
703-368-0291
Provider Enumeration Date
11/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7134 01 CAREFIRST
035461 01 VA BLUE SHIELD
009300627 05 VA
21906 01 UNITEDHEALTHCARE
institution
Provider Business Practice Location Address Details
Address
8704 Rolling Rd
City
State
Zip
20110-4253
Phone Number
703-361-3132
Fax Number
703-368-0291
person
Provider Business Mailing Address Details
Address
8704 Rolling Rd
City
State
Zip
20110-4253
Phone Number
703-361-3132
Fax Number
703-368-0291
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
0103000268 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
0103001009 (Virginia)
Definition
Definition to come...
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