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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