Individual
AMY DANIELS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11445 SUNSET HILLS RD, RESTON, VA 20190-5276
(703) 709-1600
Mailing address
1352 LANCIA DR, MCLEAN, VA 22102-2204
(703) 448-0347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057422
VA
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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