Doctor Name: | VAFA N FERDOWSIAN |
NPI Number: | 1033182837 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 230 |
Business Practice Address: | 703 Donaghey Ave Conway, AR - 720345107 |
Business Phone Number: | 5013273668 |
Business Fax Number: | 5013273664 |
Mailing Address: | 703 Donaghey Ave, CONWAY |
State: | AR |
Postal Code: | 720345107 |
Phone Number: | 5013273668 |
Fax Number: | 5013273664 |
NPI Enumeration Date: | 02/10/2006 |
NPI Last Update Date: | 05/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |