Individual
DR. PHUONG XUAN MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6620 KEENE DR, SPRINGFIELD, VA 22152-2508
(703) 598-5910
(703) 639-0738
Mailing address
6620 KEENE DR, SPRINGFIELD, VA 22152-2508
(703) 598-5910
(703) 639-0738
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101233304
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010135796
—
VA
Enumeration date
07/05/2005
Last updated
11/05/2009
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