Provider Demographics
NPI:1740236587
Name:ARMSTRONG, MICHAEL ROBERT (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ROBERT
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 WILSON BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2228
Mailing Address - Country:US
Mailing Address - Phone:703-243-6720
Mailing Address - Fax:703-243-7503
Practice Address - Street 1:3301 WILSON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2228
Practice Address - Country:US
Practice Address - Phone:703-243-6720
Practice Address - Fax:703-243-7503
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110003723363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q43626Medicare UPIN
Q43626Medicare UPIN