| Valley Podiatry Pc | |
|
1934 Braeburn Dr, Salem, VA 24153-7302 | |
| (540) 982-0253 | |
| (540) 982-1996 |
| Full Name | Valley Podiatry Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1934 Braeburn Dr, Salem, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366651754 | NPI | - | NPPES |
| 1689626798 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103000859 (Virginia) | Primary |
| Provider Name | Pink P Wimbish |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689626798 PECOS PAC ID: 7618927112 Enrollment ID: I20050126000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Podiatry Pc 1934 Braeburn Dr, Salem, VA 24153-7302 Ph: (540) 982-0253 | Valley Podiatry Pc 1934 Braeburn Dr, Salem, VA 24153-7302 Ph: (540) 982-0253 |
Dr. Conrad Allison Claytor, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1934 Braeburn Dr, Salem, VA 24153 Phone: 540-982-0253 Fax: 540-982-1996 | |
Toni D Chadwick, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1944 | |
Dr. Benedict A Profera, DPM, MPH Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1589 Innsbrooke Dr, Salem, VA 24153 Phone: 540-389-6267 | |
John H Bonk, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-554-1944 | |
Jeremy Brouillette, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1970 Roanoke Blvd, Bldg 143, Podiatry Department, Salem, VA 24153 Phone: 540-982-2463 | |
Paul Shearer, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1944 |