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Organization
THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE
Active
Organization
THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DODSON (CREDENTIALING MANAGER)
(443) 398-0189
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE 902, ALEXANDRIA, VA 22304-1313
(703) 370-4300
(703) 370-1683
Mailing address
4660 KENMORE AVE, SUITE 902, ALEXANDRIA, VA 22304-1313
(703) 370-4300
(703) 370-1683
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
05/21/2025
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