Unknown Individual – Dermatology Physician, NPI 1417947771
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Fort Myer Commissary, 523, Carpenter Road, Arlington, Arlington County, Virginia, 22211, United States
FT MYER, VA 222111009
Phone: (703) 696-3447
Fax: (703) 696-3450
Type: Location
6759 MORNING RIDE CIR
ALEXANDRIA, VA 223155057
Phone: (703) 550-1920
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22211)
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