Individual
DR. TROY RANDOLPH MOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 TOWN SQUARE, SUITE 180, LOVETTSVILLE, VA 20180-8558
(540) 579-0500
(540) 822-5036
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101245677
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0907130007
DME SUPPLIER
—
05
—
1003009119
—
VA
05
—
30016070010001
—
VA
Enumeration date
08/22/2007
Last updated
03/19/2024
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