Organization · Type 2 NPI
Podiatry Home Care LLC
Primary Podiatric Medicine Podiatrist · Norfolk, VA
NPI number
1750730628
Active
Practice location
1567 Aspin Ave, Suite B
Norfolk, VA 23502-1532
Fax (757) 965-4765
Mailing address
7750 Ogden Ave, Apt A
Norfolk, VA 23505-2069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 0103000695 (VA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1750730628
Podiatry Home Care LLC's National Provider Identifier is 1750730628, issued on Jun 10, 2016. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Norfolk, VA. The record was last updated on Jun 28, 2016.