Provider Demographics
NPI:1801915111
Name:VON ARX, EMIL III (M D)
Entity type:Individual
Prefix:DR
First Name:EMIL
Middle Name:
Last Name:VON ARX
Suffix:III
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12701 LAMP POST LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2317
Mailing Address - Country:US
Mailing Address - Phone:301-838-9284
Mailing Address - Fax:301-838-9284
Practice Address - Street 1:MEDICAL SERVICES DEPT OF STATE
Practice Address - Street 2:2401 E STREET NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0001
Practice Address - Country:US
Practice Address - Phone:703-875-5411
Practice Address - Fax:703-875-5414
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101026028207Q00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AV73-77167OtherDEA NUMBER