Organization
J. HOUSEWORTH, DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON DOUGLAS HOUSEWORTH DPM (PODIATRIST)
(407) 922-0344
Entity
Organization
Contact information
Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
(407) 922-0344
Mailing address
8902 RINGVIEW DR, MECHANICSVILLE, VA 23116-2972
(407) 922-0344
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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