Avery, Gordon L

Avery, Gordon L is an individual health care provider with primary practice located at 1635 N George Mason Dr Suite 310, Arlington VA 22205-3616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Avery, Gordon L can be contacted via phone (703) 810-5215.

Contact Information

Primary practice address
1635 N George Mason Dr Suite 310 Arlington VA 22205-3616
Phone: (703) 810-5215
Fax: (703) 810-5428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101031957 Virginia

Profile Details

NPI number 1407874290
LBN Legal business name Avery, Gordon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407874290 NPPES
Virginia MEDICAID 6404880
Virginia Other P00151206

Popular Providers