Individual
BRIAN KENNETH GONDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7659 LEESBURG PIKE, FALLS CHURCH, VA 22043-2520
(703) 821-1317
Mailing address
7659 LEESBURG PIKE, FALLS CHURCH, VA 22043-2520
(703) 821-1317
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101240375
VA
Other
Enumeration date
02/26/2007
Last updated
01/08/2013
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