Organization
SOUTHWEST PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSIE M AKER (OFFICE MANAGER)
(276) 228-2212
Entity
Organization
Contact information
Practice address
594 RADIO HILL RD, MARION, VA 24354-4224
(276) 782-9545
(276) 782-9125
Mailing address
594 RADIO HILL RD, MARION, VA 24354-4224
(276) 782-9545
(276) 782-9125
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000769
VA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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