| Clinica Of Virginia Llc | |
|
10560 Main St #215 Fairfax VA 22030-7182 | |
| (571) 432-0700 | |
| Not Available |
| Full Name | Clinica Of Virginia Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10560 Main St, Fairfax, Virginia |
| Authorized Official Name and Position | Woodrow Allen Boyer (EXECUTIVE GENERAL MANAGER) |
| Authorized Official Contact | 8636140371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Of Virginia Llc 1600 Tysons Blvd 8th Floor Mc Lean VA 22102-4865 Ph: (703) 245-8513 | Clinica Of Virginia Llc 10560 Main St #215 Fairfax VA 22030-7182 Ph: (571) 432-0700 |
| NPI Number | 1174841324 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174841324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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