Individual
STORY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13880 BRADDOCK RD STE 301, CENTREVILLE, VA 20121-2462
(703) 222-2773
(703) 222-6093
Mailing address
3012 SUGAR LN, VIENNA, VA 22181-6001
(703) 222-2773
(703) 222-6093
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110840673
VA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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