| Structural Elements | |
|
400 Madison Trade Plz Se Leesburg VA 20175-3761 | |
| (703) 737-3053 | |
| Not Available |
| Full Name | Structural Elements |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 400 Madison Trade Plz Se, Leesburg, Virginia |
| Authorized Official Name and Position | Steve Makranczy (OWNER) |
| Authorized Official Contact | 7038681456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Structural Elements 400 Madison Trade Plaza Se Leesburg VA 20175 Ph: () - | Structural Elements 400 Madison Trade Plz Se Leesburg VA 20175-3761 Ph: (703) 737-3053 |
| NPI Number | 1942710827 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 10/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942710827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 9202 (Virginia) | Primary |
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