# FREE STATE PODIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518644061
- **Authorized official:** JUSTIN POINTER PDM (OWNER)
- **Authorized official phone:** (202) 258-4692

## Contact information

- **Practice address:** 50 POST OFFICE RD STE 304, WALDORF, MD 20602-3704
- **Practice address phone:** (202) 258-4692
- **Mailing address:** PO BOX 2850, SPRINGFIELD, VA 22152-0850
- **Mailing address phone:** (202) 258-4692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2023
- **Last updated:** 09/04/2023