LUIS E VIDAL

FORT BELVOIR, VA
NPI1902091986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110008968)
Enumeration Date2007-09-12
Last Update Date2023-08-10
Business Address
LUIS E VIDAL PA
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 571-231-0374
Mailing Address
LUIS E VIDAL PA
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 571-231-0374
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