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Organization

JSNV MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH W SIKO JR. DPM (OWNER)
(434) 755-7896
Entity
Organization

Contact information

Practice address
601 OLD WAGNER RD, PETERSBURG, VA 23805-9313
(804) 722-3330
(888) 871-5546
Mailing address
864 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4001
(434) 755-7896

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
07/06/2018
Last updated
06/03/2021
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