Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Loudoun County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P GOODFRIEND M.D. (DIRECTOR)
(703) 771-5829
Entity
Organization
Contact information
Practice address
102 HERITAGE WAY NE, 1ST FLOOR SUITE #100, LEESBURG, VA 20176
(703) 777-0236
(703) 771-5393
Mailing address
1 HARRISON ST SE, LEESBURG, VA 20175
(703) 771-5829
(703) 771-5023
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004975677
—
VA
Enumeration date
09/19/2006
Last updated
07/21/2011
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