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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