Individual
DR. MATTHEW C DAIRMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, MS, FACFAS
Contact information
Practice address
171 N MAIN ST, SUFFOLK, VA 23434-4507
(757) 934-0768
(757) 925-1901
Mailing address
171 N MAIN ST, SUFFOLK, VA 23434-4507
(757) 934-0768
(757) 925-1901
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300887
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010316057
—
VA
01
—
199840
ANTHEM BC/BS
VA
01
—
3125477
MAMSI
VA
01
—
64460
OPTIMA NUMBER
VA
Enumeration date
06/27/2005
Last updated
01/19/2024
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