Organization
VIRGINIA URODYNAMICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN NORMAN (MANAGER)
(703) 558-6104
Entity
Organization
Contact information
Practice address
1625 N GEORGE MASON DR, SUITE 475, ARLINGTON, VA 22205-3683
(703) 717-4000
(703) 717-4009
Mailing address
1625 N GEORGE MASON DR, SUITE 475, ARLINGTON, VA 22205-3683
(703) 717-4000
(703) 717-4009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
S137559-3
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S137559-3
STATE BUS. LICENSE
VA
Enumeration date
07/06/2006
Last updated
08/22/2020
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