Organization · Type 2 NPI

Fairfax County, Virginia

Multi-Specialty Clinic/Center · Fairfax, VA

NPI number 1174558266 Active

Practice location

12011 Government Center Pkwy, Suite 836
Fairfax, VA 22035-1100

Call (703) 324-7000 Map

Fax (703) 324-7092

Mailing address

12000 Government Center Pkwy, Suite 552
Fairfax, VA 22035-0001

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X113 (VA)

Multi-Specialty Clinic/Center: Definition to come...

7 other providers at this address

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About NPI 1174558266

Fairfax County, Virginia's National Provider Identifier is 1174558266, issued on Jul 11, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fairfax, VA. The record was last updated on Apr 1, 2021.