person
Homer E Knudson, MD
Specialist in Vienna, Virginia
NPI 1285666891

Homer E Knudson is a Specialist based in Vienna, VA. Homer E Knudson practices in Vienna, VA and has the professional credentials of MD. The NPI Number for Homer E Knudson is 1285666891 and holds a License No. 23301 (Virginia).

The current practice location address for Homer E Knudson is 8308 Old Courthouse Rd, Vienna, VA and can be reached out via phone at 703-790-9440 and via fax at 703-790-5359. You can also correspond with Homer E Knudson through the mailing address at 8308 OLD COURTHOUSE RD, VIENNA, VA - 22182-3863 (mailing address contact number: 703-790-9440).

Location: 8308 Old Courthouse Rd, Vienna, VA, 22182-3863
person
Provider Profile Details
NPI Number
1285666891
Provider Name
Homer E Knudson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8308 Old Courthouse Rd, Vienna, VA, 22182-3863
Phone Number
703-790-9440
Fax Number
703-790-5359
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4087376 01 VA AETNA PPO
07-00455 01 VA UNITED HEALTHCARE PIN
088399 01 VA ANTHEM PPO/HEALTHKEEPERS
0785845 01 VA AETNA HMO
10316 01 VA UNICARE
4087 01 VA CAREFIRST PPO/ BLUECHOICE
6260730 05 VA
99214 01 VA GUARDIAN
1463350004 01 VA CIGNA PIN
4087 01 VA BLUECROSS BLUESHIELD PPO
27007 01 VA OPTIMUMCHOICE/MAMSI/MDIPA
institution
Provider Business Practice Location Address Details
Address
8308 Old Courthouse Rd
City
State
Zip
22182-3863
Phone Number
703-790-9440
Fax Number
703-790-5359
person
Provider Business Mailing Address Details
Address
8308 Old Courthouse Rd
City
State
Zip
22182-3863
Phone Number
703-790-9440
Fax Number
703-790-5359
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
23301 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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