Organization · Type 2 NPI
Xyz Clinic
Medical Physician Assistant · Fairfax, VA
NPI number
1760633283
Active
Practice location
17000 Breeze Lane
Fairfax, VA 22033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 908832094382904 (VA) |
Medical Physician Assistant: Definition to come...
About NPI 1760633283
Xyz Clinic's National Provider Identifier is 1760633283, issued on Oct 2, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairfax, VA. The record was last updated on Oct 2, 2008.