Individual
DR. OLYMPIA P DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4400 UNIVERSITY DR, MS 2D3 GEORGE MASON UNIVERSITY STUDENT HEALTH, FAIRFAX, VA 22030
(703) 993-2807
(703) 993-4365
Mailing address
4400 UNIVERSITY DR, MS 2D3 GEORGE MASON UNIVERSITY STUDENT HEALTH, FAIRFAX, VA 22030
(703) 993-2807
(703) 993-4365
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101033600
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101033600
MEDICAL LICENSE
VA
Enumeration date
07/08/2006
Last updated
03/07/2023
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