Individual
JOHN W KLOUSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 ANDRUS RD, SUITE 6, ALEXANDRIA, VA 22306-3171
(703) 780-5474
(703) 799-4092
Mailing address
7910 ANDRUS RD, SUITE 6, ALEXANDRIA, VA 22306-3171
(703) 780-5474
(703) 799-4092
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
021065
VA
208800000X
Urology Physician
VA021065
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010273404
—
VA
Enumeration date
01/12/2006
Last updated
11/25/2013
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