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Individual

DR. IAN MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 698-4444
Mailing address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 698-4444

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
0101264312
VA
2085R0202X
Diagnostic Radiology Physician
0101264312
VA
2085R0202X
Diagnostic Radiology Physician
D0088425
MA

Other

Enumeration date
04/20/2012
Last updated
02/04/2022
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