Individual
MR. CLIFFORD C SOUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
601 POTOMAC STATION DR NE, LEESBURG, VA 20176-1816
(703) 840-1396
Mailing address
238 BROOKLEY AVE SW, BOLLING AFB, DC 20032-7704
(202) 404-6491
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003746
VA
Other
Enumeration date
02/06/2008
Last updated
01/29/2025
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