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Organization
VIRGINIA INTEGRATIVE MEDICAL
Active
Organization
VIRGINIA INTEGRATIVE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LE TRAN MD (SOLE OWNER)
(540) 508-0651
Entity
Organization
Contact information
Practice address
125 PROSPERITY DR, SUITE 500, WINCHESTER, VA 22602-5385
(540) 508-0651
(540) 508-0841
Mailing address
136 LINDEN DR, SUITE 104, WINCHESTER, VA 22601-6907
(540) 678-3588
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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