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Organization
CASA PEDIATRIC URGENT CARE
Active
Organization
CASA PEDIATRIC URGENT CARE
Active
Other names
CASA PEDIATRIC URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAYRA BUTRON (PRACTICE MANAGER)
(571) 866-0963
Entity
Organization
Contact information
Practice address
14130 NOBLEWOOD PLZ STE 105, WOODBRIDGE, VA 22193-1465
(703) 485-0470
Mailing address
14130 NOBLEWOOD PLZ STE 105, WOODBRIDGE, VA 22193-1465
(703) 485-0470
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
NULL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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