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Individual

SCOTT HOWARD NAGELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44084 RIVERSIDE PARKWAY, SUITE 300, LEESBURG, VA 20176-5155
(703) 724-7530
(703) 858-2870
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101043278
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080156025
RR MEDICARE
VA
05
1588657019
VA
05
30015775320001
VA
05
5607345
VA
Enumeration date
08/30/2005
Last updated
09/28/2023
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