Dr. Richard James Edgar, MD
Family Medicine, Sports Medicine in Reston, VA. Individual provider (NPI-1).
NPI number1851889158
StatusActive
Last updated in NPPESOct 21, 2022
Details
- NPI
- 1851889158
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard James Edgar
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2018
- Certification date
- Oct 21, 2022
- Last updated
- Oct 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 0101275769 | VA | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | D0094921 | MD | |
| 207QS0010X | Family Medicine, Sports Medicine | MD473773 | PA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1850 Town Center Pkwy Ste 459Reston, VA 20190-3300
Phone 703-892-6500 · Fax 703-769-8437
Mailing address
2445 Army Navy Dr Fl 4Arlington, VA 22206-2988
Phone 703-892-6500 · Fax 703-769-8437
Other practice locations
3299 Woodburn Rd Ste 480
Annandale, VA 22003-7333
Annandale, VA 22003-7333
Phone 703-892-6500 · Fax 703-769-8437
2501 Parkers Ln Ste 200
Alexandria, VA 22306-3209
Alexandria, VA 22306-3209
Phone 703-892-6500 · Fax 703-769-8437
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