Organization · Type 2 NPI

Fasv, PC

Foot & Ankle Surgery Podiatrist · Glen Allen, VA

NPI number 1609185073 Active

Practice location

5300 Hickory Park Dr, Suite 104
Glen Allen, VA 23059-2629

Fax (804) 730-1223

Mailing address

7016 Lee Park Rd Ste 105
Mechanicsville, VA 23111-3620

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

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

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About NPI 1609185073

Fasv, PC's National Provider Identifier is 1609185073, issued on Oct 1, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Glen Allen, VA. The record was last updated on Aug 6, 2023.