Healthcare Provider Details

I. General information

NPI: 1295829539
Provider Name (Legal Business Name): RICHARD L. STOKES, M.D. & ALFREDA JONES, M.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 05/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 TOWN CENTER DR SUITE 207
RESTON VA
20190-3292
US

IV. Provider business mailing address

1830 TOWN CENTER DR SUITE 207
RESTON VA
20190-3292
US

V. Phone/Fax

Practice location:
  • Phone: 703-437-0001
  • Fax: 703-787-5739
Mailing address:
  • Phone: 703-437-0001
  • Fax: 703-787-5739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number0101028194
License Number StateVA

VIII. Authorized Official

Name: MIRANDA LAMBERT
Title or Position: BILLING MANAGER
Credential:
Phone: 703-437-0001