Individual provider · Type 1 NPI

Benedict A. Profera, DPM, MPH

Primary Podiatric Medicine Podiatrist · Salem, VA

NPI number 1356497622 Active

Practice location

1589 Innsbrooke Dr
Salem, VA 24153-1785

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist Primary 213EP1101X0103000566 (VA)

Primary Podiatric Medicine Podiatrist: Definition to come...

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About NPI 1356497622

Benedict A. Profera, DPM, MPH's National Provider Identifier is 1356497622, issued on Jan 26, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Salem, VA. The record was last updated on Jul 8, 2007.