Individual
DAVID PHILLIP VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
125 OLDE GREENWICH DR, FREDERICKSBURG, VA 22408-4001
(540) 374-5599
Mailing address
506 WORCHESTER ST, HERNDON, VA 20170-3135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004162
VA
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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