Individual provider · Type 1 NPI

Damon J. Licari, PA

Physician Assistant · Fairfax, VA

NPI number 1962495069 Active

Practice location

8081 Innovation Park Dr Ste 602
Fairfax, VA 22031-4867

Call (571) 472-3270 Map

Fax (571) 472-3271

Mailing address

PO Box 37174
Baltimore, MD 21297-3174

Other practice locations

  • 3020 Hamaker Ct Ste 101, Fairfax, VA 22031-2233 · (703) 289-9400
  • 3300 Gallows Rd, Falls Church, VA 22042-3307 · (703) 776-4001

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110001250 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

8 other providers at this address

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About NPI 1962495069

Damon J. Licari, PA's National Provider Identifier is 1962495069, issued on Aug 24, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairfax, VA. The record was last updated on Mar 15, 2022.