NPI 1902182660 · live from the CMS NPI Registry
Clifton Foot And Ankle Center P.C.
Podiatrist, Foot & Ankle Surgery in Centreville, VA. National Provider Identifier 1902182660, active.
NPI record
| NPI | 1902182660 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 6101 Redwood Square Center, Suite 303, Centreville, VA 20121 |
| Practice phone | 703-996-3000 |
| Mailing address | 6101 Redwood Square Ctr, Suite 303, Centreville, VA 20121 |
| Enumerated | October 26, 2011 |
| Last updated | May 13, 2013 |
| Authorized official | Kenneth Wilhelm, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 0103000986 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.