Individual
JOHN E. JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
78 MEDICAL CENTER DR, DEPARTMENT OF EMERGENCY MEDICINE, FISHERSVILLE, VA 22939-2332
(540) 332-4423
Mailing address
785 CAITLIN DR, CROZET, VA 22932-9301
(703) 937-7375
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C1-0009743
DE
390200000X
Student in an Organized Health Care Education/Training Program
236103
MA
Other
Enumeration date
01/14/2009
Last updated
05/09/2017
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