Individual
GLEN IRVING REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
8211 TERMINAL RD, NORTHROP GRUMMAN IT, SUITE 1000, LORTON, VA 22079-1435
(703) 767-2361
Mailing address
8211 TERMINAL RD, NORTHROP GRUMMAN IT, SUITE 1000, LORTON, VA 22079-1435
(703) 767-2361
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
0101236997
VA
174400000X
Specialist
Primary
0101236997
VA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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