Organization · Type 2 NPI
Squadron Health Enterprises, LLC
General Practice Physician · Great Falls, VA
NPI number
1720617525
Active
Practice location
10602 Allenwood Ln
Great Falls, VA 22066-3229
Mailing address
11110 Sunset Hills Rd Unit 8124
Reston, VA 20195-8091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1720617525
Squadron Health Enterprises, LLC's National Provider Identifier is 1720617525, issued on Apr 3, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Great Falls, VA. The record was last updated on Apr 3, 2020.