Organization
CLINICA OF VIRGINIA LLC
Active
Organization
CLINICA OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WOODROW ALLEN BOYER EGM (EXECUTIVE GENERAL MANAGER)
(863) 614-0371
Entity
Organization
Contact information
Practice address
10560 MAIN ST, #215, FAIRFAX, VA 22030-7182
(571) 432-0700
Mailing address
1600 TYSONS BLVD, 8TH FLOOR, MC LEAN, VA 22102-4865
(703) 245-8513
(703) 245-3001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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