Individual
DR. EDGARD A SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43480 YUKON DR # 2200, ASHBURN, VA 20147-6988
(571) 252-6000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101230526
VA
208000000X
Pediatrics Physician
Primary
0101230526
VA
Other
Enumeration date
12/12/2006
Last updated
05/27/2021
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