| Mosaic Theory MD | |
|
22365 Broderick Dr Ste 330 Sterling VA 20166-9361 | |
| (703) 952-7641 | |
| (703) 423-0007 |
| Full Name | Mosaic Theory MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 22365 Broderick Dr Ste 330, Sterling, Virginia |
| Authorized Official Name and Position | Sheri Kay Kochendoerfer (CO-OWNER) |
| Authorized Official Contact | 7039527641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Theory MD 22365 Broderick Dr Ste 330 Sterling VA 20166-9361 Ph: (703) 952-7641 | Mosaic Theory MD 22365 Broderick Dr Ste 330 Sterling VA 20166-9361 Ph: (703) 952-7641 |
| NPI Number | 1376155648 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376155648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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