NPI 1295200681 · live from the CMS NPI Registry
Commonwealth Foot And Ankle, INC.
Podiatrist, Foot & Ankle Surgery in Petersburg, VA. National Provider Identifier 1295200681, active.
NPI record
| NPI | 1295200681 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 3333 S Crater Rd, Petersburg, VA 23805 |
| Practice phone | 804-732-6000 |
| Mailing address | 453 Mclaws Cir Ste 1, Williamsburg, VA 23185 |
| Enumerated | October 11, 2018 |
| Last updated | October 11, 2018 |
| Authorized official | Sara Bouraee, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.