Individual
ANGELO PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6355 WALKER LN, SUITE 305, ALEXANDRIA, VA 22310-3245
(703) 971-7100
(703) 922-5518
Mailing address
6355 WALKER LN, SUITE 305, ALEXANDRIA, VA 22310-3245
(703) 971-7100
(703) 922-5518
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103000921
VA
213EP1101X
Primary Podiatric Medicine Podiatrist
0103000921
VA
213ER0200X
Radiology Podiatrist
0103000921
VA
213ES0000X
Sports Medicine Podiatrist
0103000921
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
0103000921
VA
213ES0131X
Foot Surgery Podiatrist
Primary
0103000921
VA
Other
Enumeration date
09/25/2006
Last updated
11/17/2011
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