| Jeffrey K,. Nekoba, M.d. | |
|
7489 Huntsman Boulevard Springfield VA 22153-1648 | |
| (571) 642-1460 | |
| (703) 440-1203 |
| Full Name | Jeffrey K,. Nekoba, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 7489 Huntsman Boulevard, Springfield, Virginia |
| Authorized Official Name and Position | Mary Beth A Tamasy (CEO) |
| Authorized Official Contact | 7037376010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey K,. Nekoba, M.d. 224-d Cornwall Street, Nw, Suite 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Jeffrey K,. Nekoba, M.d. 7489 Huntsman Boulevard Springfield VA 22153-1648 Ph: (571) 642-1460 |
| NPI Number | 1679700660 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679700660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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