Individual
DR. PATRICK S. AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6477 COLLEGE PARK SQ, SUITE 106, VIRGINIA BEACH, VA 23464-3611
(757) 523-0414
(757) 523-2047
Mailing address
6477 COLLEGE PARK SQ, SUITE 106, VIRGINIA BEACH, VA 23464-3611
(757) 523-0414
(757) 523-2047
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000759
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009303278
—
VA
Enumeration date
10/10/2005
Last updated
10/02/2008
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