Individual
DR. SCOTT ALAN MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4725 W OX RD, FAIRFAX, VA 22030-6125
(703) 266-8245
Mailing address
21804 AINSLEY CT, BROADLANDS, VA 20148-4530
(571) 333-6223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000915
VA
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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