# SPRINGFIELD FAMILY MEDICINE. LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417069808
- **Authorized official:** DONALD J BRIDEAU JR. M.D. (PRESIDENT)
- **Authorized official phone:** (703) 971-8600

## Contact information

- **Practice address:** 6355 WALKER LN, SUITE 310, ALEXANDRIA, VA 22310-3245
- **Practice address phone:** (703) 971-8600
- **Practice address fax:** (703) 971-9043
- **Mailing address:** 6355 WALKER LN, SUITE 310, ALEXANDRIA, VA 22310-3245
- **Mailing address phone:** (703) 971-8600
- **Mailing address fax:** (703) 971-9043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 11/05/2009