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Organization
MY HOA KAAS DPM PC
Active
Organization
MY HOA KAAS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MY HOA KAAS DPM (OWNER PHYSICIAN)
(703) 205-0770
Entity
Organization
Contact information
Practice address
2826 OLD LEE HIGHWAY #220, FAIRFAX, VA 22031-4323
(703) 205-0770
(703) 205-0771
Mailing address
2826 OLD LEE HIGHWAY #220, FAIRFAX, VA 22031-4348
(703) 205-0770
(703) 205-0771
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1PD0031143
VA
Other
Enumeration date
05/28/2006
Last updated
06/26/2008
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