ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC NPI 1376795765

NPI Information

ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC is a foot and ankle surgery podiatrist in Fairfax, VA. ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC NPI is 1376795765. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Lakeridge Foot & Ankle Center.

The provider's business location address is:

10730 MAIN ST
FAIRFAX, VA
ZIP 22030-704
Phone: (703) 691-0670
Fax: (703) 385-2865

The provider's authorized official is Douglas E Stabile .
The authorized official title is President and has the following contact phone number (703) 491-9500.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 12/30/2013.

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

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