Individual
ALEXANDRA LOUISE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12011 LEE JACKSON MEMORIAL HIGHWAY, SUITE 302, FAIR OAKS, VA 22033
(703) 246-0500
(855) 473-0122
Mailing address
9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-3783
(855) 473-0122
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
0101275640
VA
Other
Enumeration date
04/20/2015
Last updated
07/18/2024
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