Individual
EDWARD G ALLCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1715 N GEORGE MASON DR STE 305, ARLINGTON, VA 22205-3655
(703) 248-0006
(703) 248-0007
Mailing address
1715 N GEORGE MASON DR STE 305, ARLINGTON, VA 22205-3655
(703) 248-0006
(703) 248-0007
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102201670
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001K171
FEDERAL BLUE CROSS
—
05
—
005623500
—
MD
05
—
010113831
—
VA
01
—
175536
BLUE CROSS ANTHEM
—
01
—
2129380
MAM SI
—
01
—
248638
KAISER
—
01
—
P00215424
RAILROAD MEDICARE
—
Enumeration date
06/17/2006
Last updated
12/17/2020
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