Individual
JOHN JAIRO REYES-CASTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(706) 922-1067
(703) 922-1041
Mailing address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(703) 922-1067
(703) 922-1041
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD038927
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2008
Last updated
01/08/2022
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