Loudoun Medical Group, PC

NPI #1336816818 in Leesburg, Virginia

Provider Information

NPI Number
1336816818
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
Aug 24, 2021
Last Updated
Jun 8, 2023

Practice Location

Address
19450 DEERFIELD AVENUE, SUITE 200
ZIP Code
20176-6821
Phone
(703) 737-6001

Authorized Official

Name
MARY BETH TAMASY
Title
CEO
Phone
(703) 737-6001

Specialties & Taxonomy Codes

Specialty
Podiatrist

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