Organization
CAPITAL PODIATRY ASSOCIATES PC
Active
Other names
Leland T Gilimore
Organization subpart
No
Provider details
NPI number
Authorized official
LELAND T GILMORE DPM (PHYSICIAN)
(703) 560-3773
Entity
Organization
Contact information
Practice address
8101 HINSON FARM RD STE 301, ALEXANDRIA, VA 22306
(703) 560-3773
(703) 799-0050
Mailing address
8101 HINSON FARM RD STE 301, ALEXANDRIA, VA 22306-3405
(703) 560-3773
(703) 799-0050
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009302867
—
VA
05
—
010837200
—
DC
01
—
1235135815
INDIVIDUAL NPI/ L.GILMORE
—
01
—
290062
ANTHEM
VA
01
—
480008618
RAILROAD MEDICARE
VA
01
—
A729 0001
CAREFIRST/ BCBS
VA
01
—
T95949
UPIN
VA
Enumeration date
10/10/2007
Last updated
01/25/2019
Update your record
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