Organization · Type 2 NPI
Tidewater Foot & Ankle Center, PC
Foot & Ankle Surgery Podiatrist · Virginia Beach, VA
NPI number
1497813158
Active
Practice location
760 Independence Blvd
Virginia Beach, VA 23455-6206
Mailing address
PO Box 55350
Virginia Beach, VA 23471-9350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
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About NPI 1497813158
Tidewater Foot & Ankle Center, PC's National Provider Identifier is 1497813158, issued on Dec 5, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Virginia Beach, VA. The record was last updated on May 13, 2009.