institution
Podiatry Center-annandale Pc
Foot & Ankle Surgery Podiatrist in Annandale, Virginia
NPI 1699876615

Podiatry Center-annandale Pc is a Foot & Ankle Surgery Podiatrist based in Annandale, VA and is specialized in Foot & Ankle Surgery. Podiatry Center-annandale Pc practices in Annandale, VA. The NPI Number for Podiatry Center-annandale Pc is 1699876615 and holds a License No. 0103300978 (Virginia).

The current practice location address for Podiatry Center-annandale Pc is 7540 Little River Tpke, Annandale, VA and can be reached out via phone at 703-750-1124 and via fax at 703-750-2043.

Location: 7540 Little River Tpke, Annandale, VA, 22003-2839
institution
Provider Profile Details
NPI Number
1699876615
Provider Name
Podiatry Center-annandale Pc
Credential
Provider Entity Type
Organization
Address
7540 Little River Tpke, Annandale, VA, 22003-2839
Phone Number
703-750-1124
Fax Number
703-750-2043
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060211 01 MA BLUE CROSS OF MASS.
480019809 01 MEDICARE RAILROAD
212945 01 MDIPA/OPT CHOICE/MAMSI
290568 01 ANTHEM BLUE CROSS
930431 05 VA
4092107 01 AETNA
institution
Provider Business Practice Location Address Details
Address
7540 Little River Tpke
City
State
Zip
22003-2839
Phone Number
703-750-1124
Fax Number
703-750-2043
person
Provider Business Mailing Address Details
Address
7540 Little River Tpke
City
State
Zip
22003-2839
Phone Number
703-750-1124
Fax Number
703-750-2043
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
0103300978 (Virginia)
Definition
Definition to come...
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