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Individual

DAMANEON SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2412 N ILLINOIS ST, ARLINGTON, VA 22205-3121
(703) 582-2107
(703) 578-3121
Mailing address
2412 N ILLINOIS ST, ARLINGTON, VA 22205-3121
(703) 582-2107
(703) 578-3121

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300902
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010031982
VA
01
6289370001
DME
VA
01
P00831471
MCR-RR
VA
Enumeration date
09/01/2006
Last updated
01/23/2026
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