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Individual

DR. KEITH JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6828 SPRINGFIELD MALL, SPRINGFIELD, VA 22150-1720
(703) 971-2021
Mailing address
4231 COLUMBIA PIKE STE 102, ARLINGTON, VA 22204-1876
(571) 441-0041

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002556
VA
152W00000X
Optometrist
TA-2497
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/11/2010
Last updated
07/21/2022
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