Organization
CAPITOL FOOT & ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA O SMITH D.P.M. (PODIATRIST)
(703) 578-3899
Entity
Organization
Contact information
Practice address
4701 RANDOLPH RD, #115, ROCKVILLE, MD 20852-2257
(703) 578-3899
(703) 578-8950
Mailing address
5256 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 578-3899
(703) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01382
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022
CAREFIRST BCBS/NCA
DC
Enumeration date
11/05/2007
Last updated
12/21/2007
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