Individual
ALAZAR WOLDEGORGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1870 AMHERST ST, WINCHESTER, VA 22601-2873
(540) 536-8000
Mailing address
1870 AMHERST ST, WINCHESTER, VA 22601-2873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101269436
VA
207R00000X
Internal Medicine Physician
2017023366
MO
Other
Enumeration date
07/06/2017
Last updated
06/30/2020
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