Mcdow, Russell Edward

Mcdow, Russell Edward is an individual health care provider with primary practice located at 44055 Riverside Pkwy Suite 102, Leesburg VA 20176-5179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mcdow, Russell Edward can be contacted via phone (703) 858-3131.

Contact Information

Primary practice address
44055 Riverside Pkwy Suite 102 Leesburg VA 20176-5179
Phone: (703) 858-3131
Fax: (703) 858-3130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101032827 Virginia

Profile Details

NPI number 1780678391
LBN Legal business name Mcdow, Russell Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jan 9th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780678391 NPPES
Virginia MEDICAID 010398398
Virginia MEDICAID 010092531
Virginia Other P00142427

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