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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LUIS E VIDAL, PA

Active

LUIS E VIDAL, PA is a Physician Assistant healthcare provider located in FORT BELVOIR, Virginia. NPI 1902091986 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT BELVOIR, VA

Registration Details

NPI Number
1902091986
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2007 (18.911354303913 yrs)
Last Updated
Aug 10, 2023
License
0110008968 (VA)

Practice Information

Address
9300 DEWITT LOOP
FORT BELVOIR, VA, 220605285
Browse VA providers · Browse ZIP 22060
Phone
5712310374
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT BELVOIR, VA

Name Credential NPI
VALERIE SAMBROOK HUDSPATH PA 1255321691
MRS. NYAINT MYOO CONNOLLY PA-C 1669463667
MS. MARIE E POLLARD MPAS, PA/C 1356311146
MS. JESSICA MARTINS MINK MPAS 1679521074
MR. DANIEL ROBERT ABEEL P.A.-C 1770503070
JAMES HENRY BOONE PA 1346355229
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.