Individual
DR. MICHAEL AVERY CLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8290 OLD COURTHOUSE RD STE D, VIENNA, VA 22182-3837
(703) 448-8818
(703) 448-0468
Mailing address
8290 OLD COURTHOUSE RD STE D, VIENNA, VA 22182-3837
(703) 448-8818
(703) 448-0468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101043568
VA
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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