Individual
DR. RICHARD GENE AMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1810 MICHAEL FARADAY DR, SUITE 200, RESTON, VA 20190-5353
(703) 860-8535
Mailing address
2607 MOUNTAIN LAUREL PL, RESTON, VA 20191-2117
(703) 860-8535
(703) 620-5034
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101021104
VA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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