Organization
1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CRAIG DAIRMAN DPM, FACFAS (PRESIDENT/MEDICAL DIRECTOR)
(757) 934-0768
Entity
Organization
Contact information
Practice address
171 NORTH MAIN STREET, SUFFOLK, VA 23434
(757) 934-0768
(757) 925-1901
Mailing address
171 N MAIN ST, SUFFOLK, VA 23434-4507
(757) 934-0768
(757) 925-1901
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300887
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010316057
—
VA
Enumeration date
01/05/2007
Last updated
10/10/2008
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