Purus Group Inc | |
8616 Pohick Rd Springfield VA 22153-2105 | |
(703) 987-8854 | |
Not Available |
Full Name | Purus Group Inc |
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Speciality | Family Medicine |
Location | 8616 Pohick Rd, Springfield, Virginia |
Authorized Official Name and Position | Irene Lee (SECRETARY) |
Authorized Official Contact | 7039878854 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Purus Group Inc 3301 Woodburn Rd Ste 101 Annandale VA 22003-6890 Ph: (703) 897-8854 | Purus Group Inc 8616 Pohick Rd Springfield VA 22153-2105 Ph: (703) 987-8854 |
NPI Number | 1265176598 |
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Provider Enumeration Date | 04/22/2022 |
Last Update Date | 04/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265176598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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