Organization · NPI-2

Chesapeake Foot And Ankle Center PC

Podiatrist, Foot & Ankle Surgery · Chesapeake, VA

NPI number1356462303
StatusActive
Last updated in NPPESMar 27, 2008

Details

NPI
1356462303
Entity type
Organization (NPI-2)
Legal business name
Chesapeake Foot And Ankle Center PC
Organization subpart
No
Enumeration date
Apr 3, 2007
Last updated
Mar 27, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery0103000785VAYes

Practice location

300 Medical Pkwy
Suite 303
Chesapeake, VA 23320-4985

Phone 757-436-5824 · Fax 757-548-4048

Mailing address

300 Medical Pkwy
Suite 303
Chesapeake, VA 23320-4985

Phone 757-436-5824 · Fax 757-548-4048

Authorized official

Donna L Collins
Administrator
7574365824

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