Provider Demographics
NPI:1346562477
Name:LITTLE, JOHN WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIAM
Last Name:LITTLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1145 19TH ST NW
Mailing Address - Street 2:SUITE 802
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3701
Mailing Address - Country:US
Mailing Address - Phone:202-467-6700
Mailing Address - Fax:202-296-7545
Practice Address - Street 1:1145 19TH ST NW
Practice Address - Street 2:SUITE 802
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3701
Practice Address - Country:US
Practice Address - Phone:202-467-6700
Practice Address - Fax:202-296-7545
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD10247208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery