Individual
MR. MICHAEL D MORTIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4320 SEMINARY ROAD, ALEXANDRIA HOSPITAL, ALEXANDRIA, VA 22304
(703) 504-3066
(703) 504-3866
Mailing address
1300 PICCARD DRIVE, SUITE 202, ROCKVILLE, MD 20850-4303
(301) 921-7900
(301) 921-7915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840514
VA
Other
Enumeration date
02/06/2007
Last updated
09/25/2007
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