Affiliated Fan Podiatry PC
Podiatrist in Richmond, VA. Organization (NPI-2).
NPI number1346429123
StatusActive
Last updated in NPPESSep 21, 2021
Details
- NPI
- 1346429123
- Entity type
- Organization (NPI-2)
- Legal business name
- Affiliated Fan Podiatry PC
- Organization subpart
- No
- Enumeration date
- Oct 30, 2007
- Certification date
- Sep 21, 2021
- Last updated
- Sep 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 0103000600 | VA | Yes |
Practice location
110 N Robinson St Ste 105Richmond, VA 23220
Phone 804-358-9031 · Fax 804-358-1273
Mailing address
110 N Robinson St Ste 105Richmond, VA 23220-4459
Phone 804-358-9031 · Fax 804-358-1273
Authorized official
Weston Charles Angermeier
Owner
8044355660
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