Individual
DR. MATTHEW ALLEN POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1 HEALTHY WAY, BERKELEY SPRINGS, WV 25411-7463
(304) 258-6981
(304) 258-0508
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
0103301039
VA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
02207
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053574392
—
WV
Enumeration date
07/07/2008
Last updated
05/05/2022
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