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Organization

RICHMOND FOOT AND ANKLE INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS LEECOST MD/DPM/MPH (DIRECTOR)
(804) 643-8667
Entity
Organization

Contact information

Practice address
409 W BROAD ST, RICHMOND, VA 23220-4220
(804) 643-8667
Mailing address
409 W BROAD ST, RICHMOND, VA 23220-4220
(804) 643-8667

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
0103000319
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9302221
VA
Enumeration date
07/12/2010
Last updated
10/21/2011
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