Individual
JOHN MILTON IDSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
PO BOX 744785, ATLANTA, GA 30374-4785
(202) 476-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101277272
VA
Other
Enumeration date
03/20/2019
Last updated
07/07/2023
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