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Organization

VIRGINIA PAIN & REHABILITATION CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHUONG XUAN MAI MD (PRESIDENT)
(703) 598-5910
Entity
Organization

Contact information

Practice address
6620 KEENE DR, SPRINGFIELD, VA 22152-2508
(703) 598-5910
(703) 639-0738
Mailing address
6620 KEENE DR, SPRINGFIELD, VA 22152-2508
(703) 598-5910
(703) 639-0738

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
0101233304
VA

Other

Enumeration date
07/30/2007
Last updated
07/30/2007
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