NPI 1306904800

Diabetic Foot Center of Tidewater

Organisation Foot & Ankle Surgery Podiatrist Norfolk, VA

Practice location

Address: 5900 E. Virginia Beach Blvd Suite 101, Norfolk, VA 23502
Phone: (757) 461-4500
Fax: (757) 466-0928

Authorised official

Name: William P. Grant
Title: Owner
Phone: (757) 461-4500

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

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Registry record

NPI: 1306904800
Entity type: Organization
NPI issued: 5 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.