Organization
FAMILY PRACTICE OF WINCHESTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON DEAN HAVRON JR. MD (MANAGING MEMBER)
(540) 723-8992
Entity
Organization
Contact information
Practice address
442 FAIRMONT AVE, WINCHESTER, VA 22601
(540) 723-8992
(540) 722-1120
Mailing address
442 FAIRMONT AVE, WINCHESTER, VA 22601-3929
(540) 723-8992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101055962
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005638691
—
VA
Enumeration date
09/27/2006
Last updated
01/12/2010
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