Organization
SILOAM DIRECT PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY LOPEZ VASQUEZ MD (PHYSICIAN)
(540) 221-2959
Entity
Organization
Contact information
Practice address
15 PRATTS RUN STE A01, WAYNESBORO, VA 22980-6606
(540) 221-2959
Mailing address
15 PRATTS RUN STE A01, WAYNESBORO, VA 22980-6606
(540) 221-2959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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