Individual
LELAND T GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8101 HINSON FARM RD STE 301, ALEXANDRIA, VA 22306-3405
(703) 560-3773
(703) 799-0050
Mailing address
8101 HINSON FARM RD STE 301, ALEXANDRIA, VA 22306-3405
(703) 560-3773
(703) 799-0050
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000826
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009302867
—
VA
05
—
010837200
—
DC
01
—
105546001
DME SUPPLIER
VA
01
—
1699963157
GROUP NPI
VA
01
—
290062
ANTHEM
VA
01
—
480008618
RAILROAD MEDICRE
VA
01
—
A729 0001
CAREFIRST/BCBS
VA
Enumeration date
06/28/2005
Last updated
01/25/2019
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