Organization
FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL WASKIN MD (MD)
(804) 320-3668
Entity
Organization
Contact information
Practice address
1465 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 320-3668
(804) 320-2600
Mailing address
1465 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 320-3668
(804) 320-2600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417998873
—
VA
Enumeration date
06/09/2006
Last updated
09/07/2012
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