| Luis E Vidal, PA | |
|
9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | |
| (571) 231-0374 | |
| Not Available |
| Full Name | Luis E Vidal |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 9300 Dewitt Loop, Fort Belvoir, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902091986 | NPI | - | NPPES |
| 0110008968 | Other | VA | VIRGINIA STATE BOARD OF MEDICINE PHYSICIAN ASSISTANT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110008968 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Luis E Vidal, PA 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-0374 | Luis E Vidal, PA 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-0374 |
Bradford John Orlich, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Vincent Hans Vandermaarel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Mrs. Michelle Ann O'connor, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: At Augusta Military Medical Center, 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Ian Erickson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 910-644-2017 | |
Amy Jewel Moorhead, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2191 Fax: 712-316-6075 | |
Mr. Ronald Elroy Bowers Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Suite 100, Fort Belvoir, VA 22060 Phone: 703-805-0096 Fax: 703-805-0820 | |
Alexis Elizabeth Marshall, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 757-339-9767 |