NPI 1578637633

Manassas Foot Clinic INC

Organisation Foot & Ankle Surgery Podiatrist Manassas, VA

Practice location

Address: 8704 Rolling Rd, Manassas, VA 20110-4253
Phone: (703) 361-3132
Fax: (703) 368-0291

Authorised official

Name: Ricardo M. Bennett
Title: President
Phone: (703) 361-3132

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 0103001009 (VA)

Other Podiatrist providers in Virginia →

Foot Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 0103000268 (VA)

Registry record

NPI: 1578637633
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 18 Dec 2012

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.