Organization
VALLEY PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PINK P WIMBISH III DPM (OWNER)
(540) 982-0253
Entity
Organization
Contact information
Practice address
1934 BRAEBURN DR, SALEM, VA 24153-7302
(540) 982-0253
(540) 982-1996
Mailing address
1934 BRAEBURN DR, SALEM, VA 24153-7302
(540) 982-0253
(540) 982-1996
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000859
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689626798
—
VA
Enumeration date
05/22/2007
Last updated
11/23/2016
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