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Organization
FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC
Active
Organization
FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOHN DONATELLI DPM (OWNER)
(304) 228-8888
Entity
Organization
Contact information
Practice address
3960 TEAYS VALLEY RD, HURRICANE, WV 25526-9796
(304) 487-9442
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(304) 487-9442
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363
—
WV
Enumeration date
03/18/2019
Last updated
02/26/2025
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