Loudoun Medical Group, PC

NPI #1013647221 in Leesburg, Virginia

Provider Information

NPI Number
1013647221
Entity Type
Organization
Organization Name
Loudoun Medical Group, PC
Subpart
Yes (part of a larger organization)
Parent Organization
LOUDOUN MEDICAL GROUP, PC
Primary Specialty
Podiatrist
Enumeration Date
Jun 13, 2022
Last Updated
Jun 13, 2022

Practice Location

Address
19440 GOLF VISTA PLAZA, SUITE 120
ZIP Code
20176-8264
Phone
(703) 858-7887

Authorized Official

Name
MARY BETH TAMASY
Title
CEO
Phone
(703) 737-6010

Specialties & Taxonomy Codes

Specialty
Podiatrist

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