Organization
MYRIAM URRUTIA-EDER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRIAM URRUTIA-EDER M.D. (OWNER)
(703) 360-0594
Entity
Organization
Contact information
Practice address
2616 SHERWOOD HALL LN, SUITE 203, ALEXANDRIA, VA 22306-3100
(703) 360-0594
(703) 780-9518
Mailing address
2616 SHERWOOD HALL LN, SUITE 203, ALEXANDRIA, VA 22306-3154
(703) 360-0594
(703) 780-9518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101035616
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006001700
—
VA
Enumeration date
04/24/2007
Last updated
12/21/2011
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