Individual
JUDITH OLKABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3700 FETTLER PARK DR, DUMFRIES, VA 22025-2050
(703) 441-7500
Mailing address
3700 FETTLER PARK DR, DUMFRIES, VA 22025-2050
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
01472
MD
213ES0131X
Foot Surgery Podiatrist
Primary
0103300998
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891952875
—
VA
01
—
VVU534A
MEDICARE
VA
Enumeration date
05/19/2008
Last updated
11/07/2023
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