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Individual

DR. STEPHEN G SPURR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 289-1400
(703) 289-1414
Mailing address
2730-B PROSPERITY AVENUE, FAIRFAX, VA 22031-2238
(703) 289-1400
(703) 289-1414

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101041944
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3236940
ECFMG
05
6717578
VA
05
6717837
VA
05
6717845
VA
Enumeration date
06/08/2006
Last updated
07/08/2007
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