Individual
SUZANNE KIM DOUD GALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1860 TOWN CENTER DR, SUITE 260, RESTON, VA 20190-5896
(703) 787-0199
(703) 787-0530
Mailing address
1860 TOWN CENTER DR, SUITE 260, RESTON, VA 20190-5896
(703) 787-0199
(703) 787-0530
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
0101235229
VA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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