Organization
HOSPITAL & CRITICAL CARE SPECIALISTS OF LOUDOUN, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGNACIO INAKI MENDIGUREN M.D. (OWNER)
(703) 669-5962
Entity
Organization
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 585-6000
(703) 858-6610
Mailing address
PO BOX 386, WATERFORD, VA 20197-0386
(703) 669-5962
(703) 669-5963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005858160
—
VA
Enumeration date
02/01/2007
Last updated
02/14/2013
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