GERIATRIC FOOT CARE OF W VIR NPI 1144342338

NPI Information

GERIATRIC FOOT CARE OF W VIR is a podiatrist in Fairmont, WV. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GERIATRIC FOOT CARE OF W VIR NPI is 1144342338. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2620 FAIRMONT AVE
SUITE 203
FAIRMONT, WV
ZIP 26554-494
Phone: (502) 724-0900

The provider's authorized official is Stephen R. Folickman .
The authorized official title is Director and has the following contact phone number (502) 724-0900.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 11/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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