Individual provider · Type 1 NPI

Story McDonald, PA-C

Medical Physician Assistant · Centreville, VA

NPI number 1619094158 Active

Practice location

13880 Braddock Rd Ste 301
Centreville, VA 20121-2462

Call (703) 222-2773 Map

Fax (703) 222-6093

Mailing address

3012 Sugar Ln
Vienna, VA 22181-6001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110840673 (VA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1619094158

Story McDonald, PA-C's National Provider Identifier is 1619094158, issued on Mar 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Centreville, VA. The record was last updated on Jul 8, 2007.