Individual
DR. DAVID MUNRO ABBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 WINDING CREEK LN, VIENNA, VA 22182-2106
(703) 938-7145
Mailing address
9001 WINDING CREEK LN, VIENNA, VA 22182-2106
(703) 938-7145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101021429
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024252
ANTHEM
VA
01
—
540955819
TAX ID
—
Enumeration date
05/23/2006
Last updated
02/07/2013
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