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Organization

PREMIER PODIATRY OF VIRGINIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANKLIN R. POLUN DPM (PRESIDENT)
(410) 654-8602
Entity
Organization

Contact information

Practice address
10989 RED RUN BLVD, SUITE 208, OWINGS MILLS, MD 21117-3283
(410) 654-8602
(410) 654-8709
Mailing address
10989 RED RUN BLVD, SUITE 208, OWINGS MILLS, MD 21117-3283
(410) 654-8602
(410) 654-8709

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
10/12/2006
Last updated
10/23/2007
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