Organization
PODIATRIC CARE OF NORTHERN VIRGINIA, PC
Active
Organization
PODIATRIC CARE OF NORTHERN VIRGINIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRIS KANDER (CREDENTIALING COORDINATOR)
(703) 727-3689
Entity
Organization
Contact information
Practice address
821 S KING ST STE I, LEESBURG, VA 20175-3922
(703) 727-3689
Mailing address
PO BOX 234, WATERFORD, VA 20197-0234
(703) 727-3689
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
01/06/2014
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