Individual provider · Type 1 NPI
Robert M. Hallivis, DPM
Foot & Ankle Surgery Podiatrist · Fairfax, VA
NPI number
1215938006
Active
Practice location
3998 Fair Ridge Dr Ste 280
Fairfax, VA 22033-2907
Fax (703) 849-8448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0103300812 (VA) |
| Sports Medicine Podiatrist | 213ES0000X | 0103300812 (VA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1215938006
Robert M. Hallivis, DPM's National Provider Identifier is 1215938006, issued on Aug 3, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fairfax, VA. The record was last updated on Sep 12, 2022.