Dpmstraleyprva,llc
Podiatrist, Foot & Ankle Surgery in Newport News, VA. Organization (NPI-2).
NPI number1235337437
StatusActive
Last updated in NPPESOct 28, 2009
Details
- NPI
- 1235337437
- Entity type
- Organization (NPI-2)
- Legal business name
- Dpmstraleyprva,llc
- Organization subpart
- No
- Enumeration date
- Jul 10, 2007
- Last updated
- Oct 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 0103300928 | VA | Yes |
Practice location
705 Mobjack PlSuite B
Newport News, VA 23606-1966
Phone 757-873-2101
Mailing address
705 Mobjack PlSuite B
Newport News, VA 23606-1966
Phone 757-873-2101
Authorized official
Rhonda Richardson
Office Manager
7578732101
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