Individual
PATRICIA ZITA BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6845 ELM ST, SUITE 600, MC LEAN, VA 22101-6007
(703) 748-9880
(703) 748-7123
Mailing address
8110 GATEHOUSE RD, STE 300W, FALLS CHURCH, VA 22042-1253
(703) 978-1196
(703) 978-7762
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101230750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
541907692
1
AL
Enumeration date
03/01/2006
Last updated
11/27/2023
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