NPI 1699344614 · live from the CMS NPI Registry
Advanced Foot And Ankle Of Virginia PLLC
Podiatrist, Foot & Ankle Surgery in Glen Allen, VA. National Provider Identifier 1699344614, active.
NPI record
| NPI | 1699344614 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 5231 Hickory Park Dr Ste D, Glen Allen, VA 23059 |
| Practice phone | 804-390-9879 |
| Mailing address | 1225 The Frst, Crozier, VA 23039 |
| Enumerated | June 23, 2021 |
| Last updated | June 23, 2021 |
| Authorized official | Ryan Vazales, Physician, Medical Director |
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.