Individual
JOHN RICO BUSTAMANTE MAGPANTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 DEWITT LOOP, INTERNAL MEDICINE CLINIC, FT BELVOIR, VA 22060-5285
(571) 231-1022
(571) 231-1155
Mailing address
9300 DEWITT LOOP, INTERNAL MEDICINE CLINIC, FT BELVOIR, VA 22060-5285
(571) 231-1022
(571) 231-1155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101238814
VA
Other
Enumeration date
03/31/2006
Last updated
12/07/2023
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