Whalio Doctors

NPI 1508901844

Roberta Lee Gartside, MD

Practitioner Plastic Surgery Physician Reston, VA

Practice location

Address
1800 Town Center Dr Suite 412, Reston, VA 20190-3215
Phone
(703) 742-8004
Fax
(703) 742-3749

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 0101042741 (VA)

Registry record

NPI
1508901844
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Feb 2007
Record last updated
8 Jul 2007

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.