Individual
ALEXIS GUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1420 BEVERLY RD, MC LEAN, VA 22101-3732
(877) 772-6505
Mailing address
PO BOX 201, TAFTON, PA 18464-0201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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