Individual
MR. BERKLEY LEO WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8708 SUDLEY RD, MANASSAS, VA 20110-4405
(703) 530-1226
(703) 530-1228
Mailing address
8708 SUDLEY RD, MANASSAS, VA 20110-4405
(703) 530-1226
(703) 530-1228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110840786
VA
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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