Organization
PREMIER FOOT & ANKLE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLENE FOOTE WHEELER (OFFICE MANAGER)
(804) 746-9797
Entity
Organization
Contact information
Practice address
7481 RIGHT FLANK RD, SUITE 110, MECHANICSVILLE, VA 23116-3838
(804) 746-9797
(804) 746-9794
Mailing address
7481 RIGHT FLANK RD, SUITE 110, MECHANICSVILLE, VA 23116-3838
(804) 746-9797
(804) 746-9794
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0103300807
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010113580
—
VA
01
—
5105750001
MEDICARE DME
VA
Enumeration date
09/17/2007
Last updated
01/23/2014
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