| Paul C Desper MD | |
|
9608 Champion Ct Manassas VA 20110-4402 | |
| (703) 361-7121 | |
| Not Available |
| Full Name | Paul C Desper MD |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 9608 Champion Ct, Manassas, Virginia |
| Authorized Official Name and Position | Paul C Desper (OWNER) |
| Authorized Official Contact | 7033617121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul C Desper MD 9608 Champion Ct Manassas VA 20110-4402 Ph: (703) 361-7121 | Paul C Desper MD 9608 Champion Ct Manassas VA 20110-4402 Ph: (703) 361-7121 |
| NPI Number | 1790929990 |
|---|---|
| Provider Enumeration Date | 05/01/2009 |
| Last Update Date | 05/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790929990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (NU) | Primary |
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