Organization Name: | HARRISONBURG FOOT & ANKLE CLINIC, PC |
NPI Number: | 1003914698 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE R HENSLEY (OFFICE MANAGER) |
Mailing Address: | 401 University Blvd Harrisonburg |
State: | VA US |
Postal Code: | 228013758 |
Phone Number: | 5404342949 |
Fax Number: | 5404338870 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 03/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |