Individual
DR. JAMES TICKNOR GABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
224 D CORNWALL STREET NW, SUITE 204, LEESBURG, VA 20176-4407
(703) 777-3262
(703) 777-3365
Mailing address
224 D CORNWALL STREET NW, SUITE 204, LEESBURG, VA 20176-4407
(703) 777-3262
(703) 777-3365
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0102021182
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6459269
—
VA
Enumeration date
09/01/2006
Last updated
08/15/2008
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