Individual
RON MARTIN GARCIA MENORCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14139 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-4644
(703) 490-8400
Mailing address
12918 PINTAIL RD, WOODBRIDGE, VA 22192-3831
(916) 479-4544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A145391
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2015
Last updated
11/20/2021
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