Individual
EVIE K CAVROS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7015C MANCHESTER BLVD, ALEXANDRIA, VA 22310-3253
(703) 971-6900
(703) 971-9184
Mailing address
7015C MANCHESTER BLVD, ALEXANDRIA, VA 22310-3253
(703) 971-6900
(703) 971-9184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101051423
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6714421
—
VA
05
—
6734006
—
VA
Enumeration date
05/01/2006
Last updated
07/09/2007
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