Individual
SARA CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1715 N GEORGE MASON DR STE 504, ARLINGTON, VA 22205-3670
(703) 525-2200
(703) 810-5423
Mailing address
PO BOX 75420, BALTIMORE, MD 21275-5420
(703) 383-6469
(703) 385-1062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005420
VA
Other
Enumeration date
07/20/2016
Last updated
08/08/2023
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