Organization · Type 2 NPI

Diabetic Foot Center of Tidewater

Foot & Ankle Surgery Podiatrist · Norfolk, VA

NPI number 1306904800 Active

Practice location

5900 E. Virginia Beach Blvd, Suite 101
Norfolk, VA 23502

Fax (757) 466-0928

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1306904800

Diabetic Foot Center of Tidewater's National Provider Identifier is 1306904800, issued on Dec 5, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Norfolk, VA. The record was last updated on Aug 22, 2020.