Organization Name: | HAMPTON ROADS FOOT & ANKLE CLINIC |
NPI Number: | 1922405174 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC STRIFLER (OWNER) |
Mailing Address: | 17 Moore Rd Poquoson |
State: | VA US |
Postal Code: | 236621105 |
Phone Number: | 3076837627 |
Fax Number: | 7576590028 |
NPI Enumeration Date: | 12/02/2014 |
NPI Last Update Date: | 12/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 0103301098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |