Loudoun Medical Group, PC
Podiatrist in Martinsburg, WV. Organization (NPI-2).
NPI number1497534697
StatusActive
Last updated in NPPESSep 26, 2023
Details
- NPI
- 1497534697
- Entity type
- Organization (NPI-2)
- Legal business name
- Loudoun Medical Group, PC
- Organization subpart
- Yes
- Enumeration date
- Sep 26, 2023
- Certification date
- Sep 26, 2023
- Last updated
- Sep 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Other names
- Dme (Doing Business As)
Practice location
107 Tavern RoadMartinsburg, WV 25401-2841
Phone 304-267-4282 · Fax 540-662-6903
Mailing address
224 D Cornwall Street NwSte 403
Leesburg, VA 20176
Phone 703-737-6010 · Fax 703-443-8643
Authorized official
Mary Beth Tamasy
Ceo
7037376010
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Other Podiatrist providers in Martinsburg, WV
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All 9 Podiatrist providers in Martinsburg · All 3,083 providers in Martinsburg
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