Organization
LOUDOUN PATHOLOGY ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONAS O. DERVILA M.D. (PRINCIPAL)
(703) 737-0730
Entity
Organization
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 737-0730
(737) 737-0738
Mailing address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6090
(703) 858-6087
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
08/31/2007
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