Doctor Name: | STEVEN R VETTER |
NPI Number: | 1295702108 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | |
Business Practice Address: | 10721 Main St Suite 3500 Fairfax, VA - 220306914 |
Business Phone Number: | 7033528888 |
Business Fax Number: | 7033528994 |
Mailing Address: | 10721 Main St, Suite 3500 FAIRFAX |
State: | VA |
Postal Code: | 220306914 |
Phone Number: | 7033528888 |
Fax Number: | 7033528994 |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |