Solomon Mapeto Mutetwa MD

NPI 1417146663 - Family Medicine - 207Q00000X

NPI Details
NPI 1417146663
Gender Male
Enumeration Date 10/23/2007
Last Updated 06/09/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
5645 STONE RD
CENTREVILLE VA, 20120-1618, US
Phone (703) 266-2442
Fax (703) 266-7159
Business Location
5645 STONE RD
CENTREVILLE VA, 20120-1618, US
Phone (703) 266-2442
Fax (703) 266-7159
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number MT187984
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According to our database, Solomon Mapeto Mutetwa MD NPI is 1417146663, taxonomy code is 207Q00000X and license number is MT187984, license state is located at Pennsylvania. Solomon Mapeto Mutetwa MD physically located at 5645 Stone Rd, Centreville VA, 20120-1618. NPI Number Solomon Mapeto Mutetwa MD has the Individual type.

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1417146663 NPI number is provided on an as is basis without warranty of any kind. 1417146663 is maintained by the National Plan & Provider Enumeration System. The contents of Solomon Mapeto Mutetwa MD are for informational purposes only.