Individual
DR. GREGORY JAMES CARDINAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2201 MOUNT VERNON AVE STE 105, ALEXANDRIA, VA 22301
(703) 879-5155
(703) 879-5951
Mailing address
1015 VERNON ST, ALEXANDRIA, VA 22314-1349
(612) 382-6490
(703) 879-5951
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103301144
VA
213E00000X
Podiatrist
01579
MD
213E00000X
Podiatrist
PO1000119
DC
Other
Enumeration date
06/11/2012
Last updated
08/03/2018
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