Loudoun Medical Group, PC

NPI #1225708019 in Dulles, Virginia

Provider Information

NPI Number
1225708019
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
Sep 14, 2021
Last Updated
Aug 18, 2023

Practice Location

Address
24430 STONE SPRINGS BLVD.
Address 2
SUITE 100
City
Dulles
ZIP Code
20166-2016
Phone
(703) 753-3338

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Podiatrist

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Organizations

Provider Name
Loudoun Medical Group, PC

Part of Loudoun Medical Group, PC

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