Organization
FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOHN DONATELLI (OWNER)
(304) 487-9442
Entity
Organization
Contact information
Practice address
6007 US ROUTE 60 E STE 228, BARBOURSVILLE, WV 25504-1042
(304) 487-9442
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(304) 487-9442
(330) 536-0069
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/02/2020
Last updated
02/26/2025
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