Organization
RICHMOND FOOT AND ANKLE INSTITUTE
Active
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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