| Bristow Run Family Medicine | |
|
14540 John Marshall Hwy #104 Gainesville VA 20155-1691 | |
| (703) 753-9799 | |
| Not Available |
| Full Name | Bristow Run Family Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 14540 John Marshall Hwy, Gainesville, Virginia |
| Authorized Official Name and Position | Jennifer M Staley (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9195381712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristow Run Family Medicine 1134 S Thomas St Apt 1 Arlington VA 22204-3621 Ph: (919) 538-1712 | Bristow Run Family Medicine 14540 John Marshall Hwy #104 Gainesville VA 20155-1691 Ph: (703) 753-9799 |
| NPI Number | 1801349915 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801349915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0024173774 (Virginia) | Primary |
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Bristow Run Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14540 John Marshall Hwy, Suite 104, Gainesville, VA 20155 Phone: 703-753-9799 Fax: 703-753-9792 | |
Lifetime Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14535 John Marshall Hwy, Suite 105, Gainesville, VA 20155 Phone: 703-754-0425 Fax: 703-754-2888 | |
Romaldo Desouza, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6344 Tred Avon Place, Gainesville, VA 20155 Phone: 703-217-6255 | |
Patient First- Gainesville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14800 Lee Highway, Gainesville, VA 20155 Phone: 703-743-7017 Fax: 703-743-7018 | |
Novant Health Uva Health System Bristow Run Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14540 John Marshall Hwy, Suite 104, Gainesville, VA 20155 Phone: 703-753-9799 Fax: 703-753-9792 | |
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