Individual provider · Type 1 NPI
Samuel Winfred Person, D.P.M.
Primary Podiatric Medicine Podiatrist · Petersburg, VA
NPI number
1154324879
Active · reactivated Mar 22, 2006
Practice location
2020 Wakefield Ave
Petersburg, VA 23805-2112
Fax (804) 733-5946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 0103000377 (VA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
3 other providers at this address
About NPI 1154324879
Samuel Winfred Person, D.P.M.'s National Provider Identifier is 1154324879, issued on May 27, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Petersburg, VA. The record was last updated on Jul 8, 2007.