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Individual

MR. IAN EDWIN DICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9404A MAIN ST, FAIRFAX, VA 22031-4032
(571) 404-6974
(571) 604-6975
Mailing address
PO BOX 791775, BALTIMORE, MD 21279-1775
(571) 302-5000
(571) 302-5001

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004431
VA
363A00000X
Physician Assistant
Primary
NC

Other

Enumeration date
06/02/2009
Last updated
05/05/2026
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