Organization
WHEELING FOOT CLINIC
Active
Other names
Wheeling Foot Clinic PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE VANSCYOC (OFFICE MANAGER)
(304) 810-4648
Entity
Organization
Contact information
Practice address
1061 MAIN ST, WHEELING, WV 26003-2701
(304) 233-0500
(304) 233-0501
Mailing address
1061 MAIN ST, WHEELING, WV 26003-2701
(304) 843-5066
(304) 233-0501
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00156
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194880047
—
WV
05
—
3810022864
—
WV
Enumeration date
02/27/2012
Last updated
02/07/2024
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