Individual
IGNACIO INAKI MENDIGUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44055 RIVERSIDE PKWY, LEESBURG, VA 20176-5179
(703) 858-6900
(703) 858-6900
Mailing address
PO BOX 386, WATERFORD, VA 20197
(703) 669-5962
(703) 669-5963
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101044605
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005858160
—
VA
Enumeration date
01/09/2007
Last updated
04/01/2010
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