Individual
MICHAEL FRAYKOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
19465 DEERFIELD AVENUE, SUITE 401, STE 403, LEESBURG, VA 20176-1707
(703) 723-5700
(703) 723-5778
Mailing address
19465 DEERFIELD AVE STE 401, LANSDOWNE, VA 20176-1707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002456
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174677504
—
VA
05
—
30015827950001
—
VA
01
—
C06319
MEDICARE GROUP PIN
VA
Enumeration date
01/23/2007
Last updated
05/10/2026
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