Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Michael Peters, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUDOUN MEDICAL GROUP, PC
Authorized official
MARY BETH TAMASY (CEO)
(703) 737-6010
Entity
Organization
Contact information
Practice address
24430 STONE SPRINGS BLVD, SUITE 215, DULLES, VA 20166-2268
(703) 858-3200
(703) 858-3203
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/18/2023
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