Individual
MICHAEL MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1571
(540) 741-1586
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1571
(540) 741-1586
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101055562
VA
2085R0204X
Vascular & Interventional Radiology Physician
0101055562
VA
Other
Enumeration date
05/10/2006
Last updated
07/20/2009
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