Premise Health of Virginia Medical, P.c

NPI #1871457093 in Chantilly, Virginia

Provider Information

NPI Number
1871457093
Entity Type
Organization
Organization Name
Premise Health of Virginia Medical, P.c
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Dec 11, 2025
Last Updated
Dec 11, 2025

Practice Location

Address
4807 STONECROFT BLVD
ZIP Code
20151-3822
Phone
(703) 957-7276

Authorized Official

Name
JONATHAN B LEIZMAN
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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