Organization
ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC
Active
Other names
LAKERIDGE FOOT & ANKLE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS E STABILE DPM (PRESIDENT)
(703) 491-9500
Entity
Organization
Contact information
Practice address
10730 MAIN ST, FAIRFAX, VA 22030-3704
(703) 691-0670
(703) 385-2865
Mailing address
1721 FINANCIAL LOOP, LAKE RIDGE, VA 22192-2460
(703) 491-9500
(703) 491-9994
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000774
VA
Other
Enumeration date
10/16/2008
Last updated
12/30/2013
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