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Foot And Ankle Clinic Of The Virginias INC

Podiatrist in Pulaski, VA. Organization (NPI-2).

NPI number1982255576
StatusActive
Last updated in NPPESFeb 26, 2025

Details

NPI
1982255576
Entity type
Organization (NPI-2)
Legal business name
Foot And Ankle Clinic Of The Virginias INC
Organization subpart
No
Enumeration date
Sep 25, 2019
Certification date
Feb 26, 2025
Last updated
Feb 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist––Yes
2086S0129X ––
213ES0103X Podiatrist, Foot & Ankle Surgery––
332B00000X Durable Medical Equipment & Medical Supplies––

Practice location

101 1st St Nw
Pulaski, VA 24301-5605

Phone 276-322-1800

Mailing address

Po Box 825159
Philadelphia, PA 19182-5159

Authorized official

Timothy John Donatelli
Owner
3042288888

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