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MR. WILLIAM GLENN IVEY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSA

Contact information

Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
Mailing address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
5782
VA

Other

Enumeration date
09/03/2025
Last updated
10/24/2025
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