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Individual

MYLES J SCHNEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
7540 LITTLE RIVER TPKE, SUITE I, ANNANDALE, VA 22003-2839
(703) 750-1124
(703) 750-2043
Mailing address
11525 WILD HAWTHORN CT, RESTON, VA 20194-1023
(703) 750-1124
(703) 750-2043

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000245
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20194
OPT CHICE/MAMSI/ALLIANCE
01
290570
BLUE CROSS VIRIGINIA
VA
01
4090314
AETNA
VA
01
435496
SOUTH HEALTH
01
71220001
BLUE CROSS FEDERAL
DC
01
81343
MEDICARE RAILROAD
05
9332294
VA
Enumeration date
09/25/2006
Last updated
12/15/2008
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