NPI 1518232685

John David Tillou, MD

Practitioner Colon & Rectal Surgery Physician Fairfax, VA

Practice location

Address: 2710 Prosperity Ave STE 200, Fairfax, VA 22031
Phone: (703) 280-2841
Mailing address: 2710 Prosperity Ave STE 200, Fairfax, VA 22031-4358

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 0101264822 (VA)

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Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 252747 (MA)

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Registry record

NPI: 1518232685
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2012
Record last updated: 25 Mar 2019

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.