Organization
JOHN W KLOUSIA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEE KLOUSIA (WIFE)
(703) 402-7073
Entity
Organization
Contact information
Practice address
7910 ANDRUS RD, SUITE 6, ALEXANDRIA, VA 22306-3171
(703) 780-5474
(703) 799-4092
Mailing address
306 WOODLAND TER, ALEXANDRIA, VA 22302-3313
(703) 402-7073
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010273404
—
VA
01
—
127035
MEDICARE ID
—
Enumeration date
02/02/2011
Last updated
02/02/2011
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