Organization
LOUDOUN RHEUMATOLOGY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ODUTOLA (MD)
(703) 723-3398
Entity
Organization
Contact information
Practice address
740 E MAIN ST, PURCELLVILLE, VA 20132-3128
(540) 338-7116
Mailing address
19465 DEERFIELD AVE, SUITE 309, LANSDOWNE, VA 20176-1700
(703) 723-3398
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101234395
VA
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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