Individual
DR. JOANNA M CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8501 ARLINGTON BLVD STE 300, FAIRFAX, VA 22031-4625
(703) 560-1611
(703) 573-0217
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102208419
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/22/2020
Last updated
10/02/2024
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