Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0101270013 | VA |
NPI | 1053725143 |
---|---|
Provider Name | Dr. Michael Vincent Narvaez |
First Address | Arlington, VA 22206 |
Second Address | Arlington, VA 22206-2220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 15/02/2021 |