Individual
DR. VICKIE RAE DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM,MS,FACFAS
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3600
(703) 391-3414
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103301330
VA
213ES0131X
Foot Surgery Podiatrist
2338
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005260
—
IL
Enumeration date
06/24/2006
Last updated
08/27/2021
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