Organization
BEAVER VALLEY FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA TEIMOURI DPM (OWNER)
(878) 313-3338
Entity
Organization
Contact information
Practice address
937 BEAVER GRADE RD STE 9, CORAOPOLIS, PA 15108-4728
(412) 262-5440
(878) 313-3339
Mailing address
500 MARKET ST STE 101, BEAVER, PA 15009-2998
(878) 313-3338
(878) 313-3339
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023237290003
—
PA
Enumeration date
04/01/2020
Last updated
07/20/2022
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