Individual
DR. DANIEL BISHOP TILLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6355 WALKER LN STE 500, ALEXANDRIA, VA 22310-3251
(703) 797-6970
(703) 922-3479
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0102205902
VA
Other
Enumeration date
04/10/2018
Last updated
11/02/2022
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