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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
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