JOHN D. MANDEVILLE

FREDERICKSBURG, VA
NPI1306017959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0102204737)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NC  2014-01055)
Enumeration Date2008-03-21
Last Update Date2017-01-03
Business Address
Dr. JOHN D. MANDEVILLE DO
1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401-6213
Phone number: 540-735-0560
Mailing Address
Dr. JOHN D. MANDEVILLE DO
1965 JEFFERSON DAVIS HWY ATTN: MANAGED CARE PLANNING
FREDERICKSBURG, VA 22401-6213
Phone number: 540-735-0560
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