| Inova Juniper Program | |
|
2740 Prosperity Ave Ste 200 Fairfax VA 22031-4354 | |
| (703) 321-2600 | |
| (703) 321-2603 |
| Full Name | Inova Juniper Program |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2740 Prosperity Ave Ste 200, Fairfax, Virginia |
| Authorized Official Name and Position | Alice Pope (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7032892048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inova Juniper Program 2740 Prosperity Ave Ste 200 Fairfax VA 22031-4354 Ph: (703) 321-2600 | Inova Juniper Program 2740 Prosperity Ave Ste 200 Fairfax VA 22031-4354 Ph: (703) 321-2600 |
| NPI Number | 1669511051 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669511051 | NPI | - | NPPES |
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