Organization
PAGE MOSS FLETCHER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAGE M FLETCHER MD (DIRECTOR)
(703) 779-4020
Entity
Organization
Contact information
Practice address
224 CORNWALL ST NW, LEESBURG, VA 20176-2701
(703) 779-4020
Mailing address
PO BOX 6264, LEESBURG, VA 20178-7440
(703) 779-4020
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
0101050872
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247439
ANTHEM BCBS
VA
01
—
DF6478
MEDICARE RAILROAD
—
Enumeration date
01/06/2007
Last updated
02/27/2008
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