Organization · Type 2 NPI

The Physician and Midwife Collaborative Practice

Obstetrics & Gynecology Physician · Lake Ridge, VA

NPI number 1386829794 Active

Practice location

12508 Lake Ridge Dr
Lake Ridge, VA 22192-2354

Mailing address

4660 Kenmore Ave, Suite 902
Alexandria, VA 22304-1313

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X0101026374 (VA)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

About NPI 1386829794

The Physician and Midwife Collaborative Practice's National Provider Identifier is 1386829794, issued on Jan 3, 2008. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Lake Ridge, VA. The record was last updated on Jan 3, 2008.