Organization
FAIRFAX OAKTON FOOT CENTER LTD
Active
Other names
T/A FAUQUIER FOOT HEALTH CTR LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ROBERT BUNT DPM (PRESIDENT)
(540) 347-1370
Entity
Organization
Contact information
Practice address
400B HOSPITAL DR, WARRENTON, VA 20186-3026
(540) 347-1370
(540) 349-4801
Mailing address
400B HOSPITAL DR, WARRENTON, VA 20186-3026
(540) 347-1370
(540) 349-4801
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01030000604
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009302166
—
VA
Enumeration date
11/27/2007
Last updated
09/07/2010
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