Organization
DEAN J STORER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN JAMES STORER M.D. (PRESIDENT)
(703) 379-7215
Entity
Organization
Contact information
Practice address
6000 STEVENSON AVE STE 208, ALEXANDRIA, VA 22304-3526
(703) 379-7215
(202) 265-7804
Mailing address
44050-195 ASHBURN PLAZA, BOX 710, ASHBURN, VA 20147
(703) 723-1980
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
0101-045175
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007709889
—
VA
01
—
B571
CAREFIRST BC BS
DC
Enumeration date
03/15/2007
Last updated
11/23/2020
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