Organization
SOUTHWEST PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VESTA D MCDOWELL DPM (OWNER)
(301) 352-7756
Entity
Organization
Contact information
Practice address
7425 FORBES BLVD, SUITE 105, LANHAM, MD 20706-2220
(301) 352-7756
(301) 352-7725
Mailing address
14300 GALLANT FOX LN STE 201, BOWIE, MD 20715-4033
(301) 352-7756
(301) 352-7725
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413635700
—
MD
Enumeration date
05/15/2007
Last updated
03/22/2019
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