Organization
BRISTOW PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL LYNN DOLAN M.D. (OWNER)
(571) 379-4246
Entity
Organization
Contact information
Practice address
10492 BRISTOW CENTER DR, BRISTOW, VA 20136-2202
(571) 379-4246
(540) 379-4276
Mailing address
10492 BRISTOW CENTER DR, BRISTOW, VA 20136-2202
(571) 379-4246
(571) 379-4276
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101234434
VA
Other
Enumeration date
06/14/2012
Last updated
12/03/2013
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