| United States Army | |
|
14450 Smoketown Rd Woodbridge VA 22192-4712 | |
| (703) 576-1397 | |
| Not Available |
| Full Name | United States Army |
|---|---|
| Speciality | Clinic/center |
| Location | 14450 Smoketown Rd, Woodbridge, Virginia |
| Authorized Official Name and Position | Shelia Redmond (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7035761403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United States Army 1949 Pohick Creek Ct Woodbridge VA 22192-2428 Ph: (703) 492-9112 | United States Army 14450 Smoketown Rd Woodbridge VA 22192-4712 Ph: (703) 576-1397 |
| NPI Number | 1588654990 |
|---|---|
| Provider Enumeration Date | 10/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588654990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0904004811 (Virginia) | Primary |
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