Organization
SPECTRUM RETINA & OCULAR ONCOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F DEEGAN III MD (PRACTICE OWNER)
(703) 643-9328
Entity
Organization
Contact information
Practice address
1420 BEVERLY RD STE 110, MC LEAN, VA 22101-3700
(703) 643-9328
(571) 378-2237
Mailing address
1420 BEVERLY RD STE 110, MC LEAN, VA 22101-3700
(703) 643-9328
(571) 378-2237
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
05/13/2021
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