MEDICARE: DAVID B WINTER, DO, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	0102034822	VA

General Provider Information

NPI Number	:	1588975122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID B WINTER, DO, PC

Provider Business Mailing Address
First Line	:	927 N KENMORE ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2226
Country	:	US
Telephone Number	:	703-524-7728
Fax Number	:	703-524-4577

Provider Business Practice Location Address
First Line	:	927 N KENMORE ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2226
Country	:	US
Telephone Number	:	703-524-7728
Fax Number	:	703-524-4577

Authorized Official
Title or Position	:	PRESIDENT/DIRECTOR
Name	:	DAVID BROOKS WINTER
Credential	:	D.O.
Telephone Number	:	703-524-7728

Provider Enumeration Date	:	06/29/2010
Last Update Date	:	06/29/2010

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