MARSHALL LEROY UPSHUR

WOODBRIDGE, VA
NPI1174681092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152WP0200X Optometrist, Pediatrics
(Licence: VA  0101037842)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
Dr. MARSHALL LEROY UPSHUR MD
14139 POTOMAC MILLS ROAD
WOODBRIDGE, VA 22192-4644
Phone number: 703-490-8400
Mailing Address
Dr. MARSHALL LEROY UPSHUR MD
KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP 2101 E JEFFERSON ST PPQA MEDICARE COMPLAINCE UNIT 6 W
ROCKVILLE, MD 20852-4908
Phone number: 301-816-6660
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