Organization
GYNEKON PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROZANNE GENYVE EVINDA BENTT MD (MEMBER)
(703) 822-9370
Entity
Organization
Contact information
Practice address
6355 WALKER LN, SUITE 500, ALEXANDRIA, VA 22310-3245
(703) 822-9370
Mailing address
PO BOX 751916, LAS VEGAS, NV 89136-1916
(703) 822-9370
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101046449
VA
207VG0400X
Gynecology Physician
D0059703
MD
Other
Enumeration date
10/25/2006
Last updated
12/01/2007
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