Individual
HEIDI L SAMPANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5502 BACKLICK RD, SPRINGFIELD, VA 22151-3904
(703) 642-8306
(703) 891-4495
Mailing address
3720 5TH ST S, ARLINGTON, VA 22204-1681
(703) 979-6737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101238258
VA
Other
Enumeration date
04/18/2006
Last updated
11/16/2011
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