| Patronus Physicians Group Pc | |
|
8000 Towers Crescent Dr Suite 1350 Vienna VA 22182-6207 | |
| (866) 450-1918 | |
| Not Available |
| Full Name | Patronus Physicians Group Pc |
|---|---|
| Speciality | General Practice |
| Location | 8000 Towers Crescent Dr, Vienna, Virginia |
| Authorized Official Name and Position | Carey Grainger (CEO) |
| Authorized Official Contact | 4048224823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patronus Physicians Group Pc 8000 Towers Crescent Dr Suite 1350 Vienna VA 22182-6207 Ph: (866) 450-1918 | Patronus Physicians Group Pc 8000 Towers Crescent Dr Suite 1350 Vienna VA 22182-6207 Ph: (866) 450-1918 |
| NPI Number | 1851830178 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851830178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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