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Search › Virginia › 171M00000X

Gueorgui Klissourov, PHD

NPI 1073208070 · on the registry since 2023 · sole proprietor

Practice

Address
20116 Ashbrook Pl
Ashburn, VA 20147
Phone
(540) 630-1211
Organisation at this address
Advanced Healthcare Pc
Change Academy At Lake Of The Ozarks
Change Academy At Lake Of The Ozarks
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
251S00000X
Sex
Male
Record last updated
2023-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia