Organization
PULMONARY CARE CONSULTANTS OF NORTHERN VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA JOANNE THOMAS MD (OWNER)
(703) 587-8304
Entity
Organization
Contact information
Practice address
19410 COPPERMINE SQ, LEESBURG, VA 20176-6533
(703) 587-8304
Mailing address
19410 COPPERMINE SQ, LEESBURG, VA 20176-6533
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101235337
VA
Other
Enumeration date
07/06/2014
Last updated
07/06/2014
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