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Organization

AFFILIATED FAN PODIATRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WESTON CHARLES ANGERMEIER DPM (OWNER)
(804) 435-5660
Entity
Organization

Contact information

Practice address
110 N ROBINSON ST STE 105, RICHMOND, VA 23220
(804) 358-9031
(804) 358-1273
Mailing address
110 N ROBINSON ST STE 105, RICHMOND, VA 23220-4459
(804) 358-9031
(804) 358-1273

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000600
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010011825
VA
01
P00060306
MEDICARE RAILROAD
VA
Enumeration date
10/30/2007
Last updated
09/21/2021
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