Individual
DR. JASON ALEXANDER MACDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5997 HALLECK BLVD, FT BELVOIR, VA 22060-3231
(703) 781-0798
Mailing address
5997 HALLECK BLVD, FT BELVOIR, VA 22060-3231
(703) 781-0798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116020838
VA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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