Healthcare Provider Details

I. General information

NPI: 1083754428
Provider Name (Legal Business Name): LANDMARK FOOT AND ANKLE CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 06/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5249 DUKE ST #212
ALEXANDRIA VA
22304-2907
US

IV. Provider business mailing address

5249 DUKE ST SUITE 212
ALEXANDRIA VA
22304-2907
US

V. Phone/Fax

Practice location:
  • Phone: 703-370-2313
  • Fax: 703-370-2490
Mailing address:
  • Phone: 703-370-2313
  • Fax: 703-370-2490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILIP P GARRETT
Title or Position: PHYSICIAN
Credential: D.P.M.
Phone: 703-370-2313