Organization
FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOHN DONATELLI DPM (OWNER)
(304) 228-8888
Entity
Organization
Contact information
Practice address
3960 TEAYS VALLEY RD, HURRICANE, WV 25526-9796
(304) 487-9442
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(304) 487-9442
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363
—
WV
Enumeration date
03/18/2019
Last updated
02/26/2025
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