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Organization
FAMILY FOOT AND ANKLE CENTER
Active
Organization
FAMILY FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT CHICKO DPM (OWNER)
(540) 785-7000
Entity
Organization
Contact information
Practice address
1420 CENTRAL PARK BLVD STE 200, FREDERICKSBURG, VA 22401-4932
(540) 785-7000
(540) 785-7005
Mailing address
1420 CENTRAL PARK BLVD STE 200, FREDERICKSBURG, VA 22401-4932
(540) 785-7000
(540) 785-7005
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7558010001
MEDICARE NSC
VA
Enumeration date
09/02/2015
Last updated
11/07/2019
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