institution
Soutwest Podiatry, P.c.
Foot & Ankle Surgery Podiatrist in Wytheville, Virginia
NPI 1942256490

Soutwest Podiatry, P.c. is a Foot & Ankle Surgery Podiatrist based in Wytheville, VA and is specialized in Foot & Ankle Surgery. Soutwest Podiatry, P.c. practices in Wytheville, VA. The NPI Number for Soutwest Podiatry, P.c. is 1942256490 and holds a License No. 0103000769 (Virginia).

The current practice location address for Soutwest Podiatry, P.c. is 680 W Monroe St, Wytheville, VA and can be reached out via phone at 276-228-2212 and via fax at 276-228-7835.

Location: 680 W Monroe St, Wytheville, VA, 24382-2240
institution
Provider Profile Details
NPI Number
1942256490
Provider Name
Soutwest Podiatry, P.c.
Credential
Provider Entity Type
Organization
Address
680 W Monroe St, Wytheville, VA, 24382-2240
Phone Number
276-228-2212
Fax Number
276-228-7835
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101905 01 VA ANTHEM GROUP
0975940001 01 VA ADMINISTAR FEDERAL
CI5929 01 VA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
680 W Monroe St
City
State
Zip
24382-2240
Phone Number
276-228-2212
Fax Number
276-228-7835
person
Provider Business Mailing Address Details
Address
680 W Monroe St
City
State
Zip
24382-2240
Phone Number
276-228-2212
Fax Number
276-228-7835
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
0103000769 (Virginia)
Definition
Definition to come...
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