| NPI | 1013647221 |
|---|---|
| Doing Business As | LOUDOUN MEDICAL GROUP, PC DME |
| Entity Type | Organization |
| Authorized Contact | MARY BETH TAMASY CEO 703-737-6010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |