Organization
EASTERN VIRGINIA FOOT AND ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUN PAN DPM (MANAGER/DPM)
(757) 698-4177
Entity
Organization
Contact information
Practice address
109 WIMBLEDON SQ STE F, CHESAPEAKE, VA 23320-4945
(757) 979-4028
Mailing address
109 WIMBLEDON SQ STE F, CHESAPEAKE, VA 23320-4945
(757) 979-4028
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
08/25/2021
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