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Organization
FAIR OAKS EMERGENCY PHYSICIANS, PLLC
Active
Organization
FAIR OAKS EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JONES MD (GROUP HEAD)
(571) 239-0788
Entity
Organization
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3996
(703) 391-3094
Mailing address
PO BOX 734980, CHICAGO, IL 60673-4980
(703) 631-1745
(703) 662-4803
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB5359
RAILROAD MEDICARE
—
Enumeration date
07/09/2006
Last updated
05/04/2023
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