Cottage Lake Podiatry
Organization Active NPI Podiatrist · Java, VA
NPI 1568771384 · NPPES record last updated Sep 28, 2010
Key facts
- NPI
- 1568771384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- 0103300987 (VA)
- Legal business name
- COTTAGE LAKE PODIATRY
- Practice address
- 148 Francis Rd
Java, VA 24565-2000 - Phone
- (434) 432-8417
- NPI assigned
- Sep 28, 2010
- Organization subpart
- No
Authorized official
- Name
- Roger Patrick Travis, DPM
- Title
- Owner
- Phone
- (434) 432-8417
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 0103300987 | VA | Yes |
Addresses
Primary practice location
148 Francis Rd
Java, VA 24565-2000
Mailing address
148 Francis Rd
Java, VA 24565-2000
Phone (434) 432-8417
Other providers in Java, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.