Clinical Neurology Pc

NPI 1588751499

Information of Clinical Neurology Pc

The NPI 1588751499 is an Organization type. NPI No 1588751499 belongs to Clinical Neurology Pc. Clinical Neurology Pc specializes in Specialist. is practising at 19455 Deerfield Ave, Leesburg, Virginia 20176. You can also contact him via phone number (703) 858-3700.

Practice address located

  • 19455 Deerfield Ave
  • Leesburg, Virginia 20176
  • (703) 858-3700
  • (703) 858-3700

Mailling address located

  • 19455 Deerfield Ave
  • Leesburg, Virginia 20176
  • (703) 858-3700
  • (703) 858-0860
Clinical Neurology Pc is PECOS enrolled.
NPI No 1588751499
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes174400000XSpecialist0101222566Virginia
Identifier for this provider
StateIdentifierTypeIssuer
VA007104537Medicaidn/a
VA130000762Medicare ID-Type Unspecifiedn/a
VAG24401Medicare UPINn/a
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