| Squadron Health Enterprises, Llc | |
|
10602 Allenwood Ln Great Falls VA 22066-3229 | |
| (202) 262-0748 | |
| Not Available |
| Full Name | Squadron Health Enterprises, Llc |
|---|---|
| Speciality | General Practice |
| Location | 10602 Allenwood Ln, Great Falls, Virginia |
| Authorized Official Name and Position | Sarah J Donovan (CEO) |
| Authorized Official Contact | 2027466136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Squadron Health Enterprises, Llc 11110 Sunset Hills Rd Unit 8124 Reston VA 20195-8091 Ph: (202) 746-6136 | Squadron Health Enterprises, Llc 10602 Allenwood Ln Great Falls VA 22066-3229 Ph: (202) 262-0748 |
| NPI Number | 1720617525 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 04/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720617525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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