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Organization
ADVANCED FOOT AND ANKLE OF VIRGINIA PLLC
Active
Organization
ADVANCED FOOT AND ANKLE OF VIRGINIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN VAZALES DPM (PHYSICIAN, MEDICAL DIRECTOR)
(804) 390-9879
Entity
Organization
Contact information
Practice address
5231 HICKORY PARK DR STE D, GLEN ALLEN, VA 23059-2619
(804) 390-9879
Mailing address
1225 THE FRST, CROZIER, VA 23039-2421
(804) 709-7141
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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