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Dr. Richard Derner, DPM
Foot & Ankle Surgery Podiatrist in Lake Ridge, Virginia
NPI 1932177607

Richard Derner is a Foot & Ankle Surgery Podiatrist based in Lake Ridge, VA and is specialized in Foot & Ankle Surgery. Richard Derner practices in Lake Ridge, VA and has the professional credentials of DPM. The NPI Number for Richard Derner is 1932177607 and holds a License No. 0103000824 (Virginia).

The current practice location address for Richard Derner is 1721 Financial Loop, Lake Ridge, VA and can be reached out via phone at 703-491-9500.

Location: 1721 Financial Loop, Lake Ridge, VA, 22192-2460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932177607
Provider Name
Richard Derner
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1721 Financial Loop, Lake Ridge, VA, 22192-2460
Phone Number
703-491-9500
Fax Number
Provider Enumeration Date
03/09/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9301372 05 VA
institution
Provider Business Practice Location Address Details
Address
1721 Financial Loop
City
Lake Ridge
State
Virginia
Zip
22192-2460
Phone Number
703-491-9500
Fax Number
person
Provider Business Mailing Address Details
Address
1721 Financial Loop
City
Lake Ridge
State
Virginia
Zip
22192-2460
Phone Number
703-491-9500
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
0103000824 (Virginia)
Definition
Definition to come...
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