Organization
ADVANCED PODIATRY OF HAMPTON ROADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX G DIAZ DPM (PRESIDENT)
(757) 673-8562
Entity
Organization
Contact information
Practice address
612 KINGSBOROUGH SQUARE, SUITE 202, CHESAPEAKE, VA 23320
(757) 673-8562
(757) 673-8174
Mailing address
612 KINGSBOROUGH SQUARE, SUITE 202, CHESAPEAKE, VA 23320
(757) 673-8562
(757) 673-8174
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300814
VA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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