NPI 1013647221

Loudoun Medical Group, PC

Organisation Podiatrist Leesburg, VA

Practice location

Address: 19440 Golf Vista Plaza, Suite 120, Leesburg, VA 20176-8264
Phone: (703) 858-7887
Mailing address: 224-D Cornwall St., NW Suite 403, Leesburg, VA 20176-1334

Authorised official

Name: Mary Beth Tamasy
Title: Ceo
Phone: (703) 737-6010

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Virginia →

Registry record

NPI: 1013647221
Entity type: Organization
NPI issued: 13 Jun 2022
Record last updated: 13 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.