Marshall Leroy Upshur in Woodbridge - Pediatrics
Marshall Leroy Upshur - NPI 1174681092
Marshall Leroy Upshur is a Pediatrics in Woodbridge, Virginia. Marshall Leroy Upshur practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marshall Leroy Upshur is 1174681092. The last update date is 2007-07-08.
Marshall Leroy Upshur's current location address is 14139 Potomac Mills Road, Woodbridge, Virginia. You can contact this provider via phone number 7034908400 and fax number 7034907635. The mailing address for Marshall Leroy Upshur is 14139 Potomac Mills Road, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marshall Leroy Upshur |
|---|---|
| Address | 14139 Potomac Mills Road, Woodbridge, Virginia |
| Phone Number | 7034908400 |
| Fax Number | 7034907635 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174681092 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14139 Potomac Mills Road |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 221924644 |
| Phone Number | 7034908400 |
| Fax Number | 7034907635 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 152Wp0200X |
| Licence No | 101037842 |
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Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Marshall Leroy Upshur?
The Marshall Leroy Upshur has been issued the NPI (National Provider Identifier) 1174681092 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Marshall Leroy Upshur's facilities are situated?
The facilities of Marshall Leroy Upshur are physically located at the following address: 14139 Potomac Mills Road, Woodbridge, VA, 221924644.
What is the Marshall Leroy Upshur's specialty and taxonomy code?
The Marshall Leroy Upshur's specialty is Pediatrics, and the corresponding taxonomy code is 152Wp0200X.
On what date did the Marshall Leroy Upshur receive the assignment of its 1174681092 from the Centers for Medicare & Medicaid Services?
The Marshall Leroy Upshur was issued its 1174681092 by the Centers for Medicare & Medicaid Services on 2006-12-04.
As of what date were the Marshall Leroy Upshur's details last updated?
The information pertaining to the Marshall Leroy Upshur, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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