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Organization

FOOT & ANKLE SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL R WASKIN DPM (MEDICAL DIRECTOR)
(804) 320-3668
Entity
Organization

Contact information

Practice address
1465 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 320-3668
(804) 441-8221
Mailing address
1465 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 320-3668
(804) 441-8221

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
04/07/2011
Last updated
04/07/2011
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