Organization
VIRGINIA FUNCTIONAL MEDICINE, INC
Active
Organization
VIRGINIA FUNCTIONAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAJ O CHRISTENSEN (VP)
(703) 938-1421
Entity
Organization
Contact information
Practice address
410 PINE ST SE, SUITE 320, VIENNA, VA 22180-4861
(703) 938-1421
(703) 938-1424
Mailing address
410 PINE ST SE, SUITE 320, VIENNA, VA 22180-4861
(703) 938-1421
(703) 938-1424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101249229
VA
Other
Enumeration date
06/22/2011
Last updated
01/18/2024
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