Organization
DPMPERILLONRVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J PERILLO DPM (OWNER)
(919) 801-0792
Entity
Organization
Contact information
Practice address
347 LAND OR DR, RUTHER GLEN, VA 22546-1235
(919) 801-0792
Mailing address
347 LAND OR DR, RUTHER GLEN, VA 22546-1235
(919) 801-0792
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301030
VA
Other
Enumeration date
06/17/2010
Last updated
09/29/2010
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