Individual
DR. RAYMOND MARTIN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14605 POTOMAC BRANCH DR, SUITE 100, WOODBRIDGE, VA 22191-3336
(703) 738-4371
(703) 642-1876
Mailing address
14605 POTOMAC BRANCH DR, SUITE 100, WOODBRIDGE, VA 22191-3336
(703) 738-4371
(703) 642-1876
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
0101257583
VA
208VP0014X
Interventional Pain Medicine Physician
D0080491
MD
Other
Enumeration date
06/22/2007
Last updated
03/24/2016
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