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Organization
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Active
Organization
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Active
Other names
Breast Center of Fairfax
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MASTERS (CCO)
(703) 698-4444
Entity
Organization
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 200, FAIRFAX, VA 22031-4515
(703) 698-4488
Mailing address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4416
(703) 698-4444
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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