Individual
KATHERINE MARIE NEIDERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
10936 WESTWARD PL, GLEN ALLEN, VA 23059-5787
(520) 548-5573
(520) 629-4962
Mailing address
10936 WESTWARD PL, GLEN ALLEN, VA 23059-5787
(520) 548-5573
(520) 629-4962
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103301097
VA
213E00000X
Podiatrist
606
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405765
—
AZ
Enumeration date
08/31/2006
Last updated
01/24/2013
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