Loudoun Medical Group, PC

NPI #1396428603 in Dulles, Virginia

Provider Information

NPI Number
1396428603
Entity Type
Organization
Organization Name
Loudoun Medical Group, PC
Subpart
Yes (part of a larger organization)
Parent Organization
LOUDOUN MEDICAL GROUP, PC
Primary Specialty
Surgery
Enumeration Date
Aug 11, 2023
Last Updated
Aug 11, 2023

Practice Location

Address
24430 STONE SPRINGS BLVD, SUITE 215
City
Dulles
ZIP Code
20166-2268
Phone
(703) 858-3200

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Surgery

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