Organization · Type 2 NPI
Evergreen Foot and Ankle LLC
Foot & Ankle Surgery Podiatrist · Annandale, VA
NPI number
1457808933
Active
Practice location
6928 Little River Turnpike, Suite B
Annandale, VA 22003
Fax (571) 565-3144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1457808933
Evergreen Foot and Ankle LLC's National Provider Identifier is 1457808933, issued on Sep 1, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Annandale, VA. The record was last updated on Feb 3, 2017.