Individual provider · Type 1 NPI

Alison Beth Mantua, PA-C

Medical Physician Assistant · Fairfax, VA

NPI number 1184771677 Active

Practice location

8503 Arlington Blvd, Suite 310
Fairfax, VA 22031-4628

Call (703) 208-4200 Map

Fax (703) 876-1799

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110001075 (VA)

Medical Physician Assistant: Definition to come...

26 other providers at this address

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About NPI 1184771677

Alison Beth Mantua, PA-C's National Provider Identifier is 1184771677, issued on Jan 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairfax, VA. The record was last updated on Aug 26, 2010.