Individual
JUAN DAVID DE LA OSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19455 DEERFIELD AVE STE 201, LANSDOWNE, VA 20176-8102
(703) 723-3670
(877) 325-2018
Mailing address
ONE GI CREDENTIALING DEPARTMENT, PO BOX 381468, GERMANTOWN, TN 38183-1468
(901) 328-1355
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0102208455
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700382579
—
VA
Enumeration date
04/02/2018
Last updated
02/05/2026
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