Organization
DOMINION FOOT & ANKLE CONSULTANTS PC
Active
Other names
Woodburn Podiatry Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L PONTELL DPM (PRESIDENT)
(703) 849-8400
Entity
Organization
Contact information
Practice address
3025 HAMAKER CT, #340, FAIRFAX, VA 22031-2237
(703) 849-8400
(703) 849-8448
Mailing address
3025 HAMAKER CT, #340, FAIRFAX, VA 22031-2237
(703) 849-8400
(703) 849-8448
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/03/2005
Last updated
09/07/2011
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