Fairfax Foot and Ankle Specialists, Pllc

NPI #1104305754 in Fairfax, Virginia

Provider Information

NPI Number: 1104305754
Entity Type: Organization
Organization Name: Fairfax Foot and Ankle Specialists, Pllc
Primary Specialty: Podiatrist
Enumeration Date: Aug 13, 2018
Last Updated: Aug 13, 2018

Practice Location

Address: 10875 MAIN ST STE 212
City: Fairfax
State: Virginia
ZIP Code: 22030-4732
Phone: (203) 494-6958

Authorized Official

Name: DR. KYLE SCHOLNICK, DPM
Title: PODIATRIST
Phone: (203) 494-6958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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