Organization · Type 2 NPI
Manassas Foot Clinic PLLC
Foot & Ankle Surgery Podiatrist · Manassas, VA
NPI number
1184050650
Active
Practice location
8704 Rolling Rd
Manassas, VA 20110-4253
Fax (703) 368-0291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
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About NPI 1184050650
Manassas Foot Clinic PLLC's National Provider Identifier is 1184050650, issued on Sep 17, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Manassas, VA. The record was last updated on Sep 17, 2013.