Organization
PURUS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE LEE (SECRETARY)
(703) 987-8854
Entity
Organization
Contact information
Practice address
8616 POHICK RD, SPRINGFIELD, VA 22153-2105
(703) 987-8854
Mailing address
3301 WOODBURN RD STE 101, ANNANDALE, VA 22003-6890
(703) 897-8854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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