GARY GREGASAVITCH, DPM, PC
Ambulatory Health at Riverside Pkwy, Leesburg, VA

License number
Virginia 0103300881
Category
Ambulatory Health
Type
Podiatric
Owner
Name: DR. GARY F GREGASAVITCH DPM
Title: PRESIDENT/OWNER
Phone: (703) 858-3211
Address
Address
44055 Riverside Pkwy SUITE 228, Leesburg, VA 20176
National Provider ID: 1215047352
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GARY GREGASAVITCH, DPM, PC

Leesburg, VA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jun 2, 2006
Addresses:
44055 Riverside Pkwy, Leesburg, VA 20176
44055 Rvrsde Pkwy, Leesburg, VA 20176
State ID:
06595045
Business type:
Corporation
Owner, Podiatrist, President, Principals:
Minhtam T. Thai (Podiatrist),Gary Gregasavitch (Owner, Podiatrist, President, Principal)
Agent:
Michael W Sim & Company Pc,7617 Little Riv Tnpk STE 510, Annandale, VA 22003

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