Individual
DR. RICHARD DERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1721 FINANCIAL LOOP, LAKE RIDGE, VA 22192-2460
(703) 491-9500
Mailing address
1721 FINANCIAL LOOP, LAKE RIDGE, VA 22192-2460
(703) 491-9500
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000824
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9301372
—
VA
Enumeration date
03/09/2006
Last updated
06/13/2024
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