Provider Demographics
NPI:1922405174
Name:HAMPTON ROADS FOOT & ANKLE CLINIC
Entity Type:Organization
Organization Name:HAMPTON ROADS FOOT & ANKLE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:STRIFLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:307-683-7627
Mailing Address - Street 1:17 MOORE RD
Mailing Address - Street 2:
Mailing Address - City:POQUOSON
Mailing Address - State:VA
Mailing Address - Zip Code:23662-1105
Mailing Address - Country:US
Mailing Address - Phone:307-683-7627
Mailing Address - Fax:757-659-0028
Practice Address - Street 1:17 MOORE RD
Practice Address - Street 2:
Practice Address - City:POQUOSON
Practice Address - State:VA
Practice Address - Zip Code:23662-1105
Practice Address - Country:US
Practice Address - Phone:307-683-7627
Practice Address - Fax:757-659-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301098213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty