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Organization

GALLOWS INTERNAL MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN K MIN M.D. (OWNER)
70346218711
Entity
Organization

Contact information

Practice address
8408 ARLINGTON BLVD, FAIRFAX, VA 22031-4608
(703) 462-8711
(703) 462-8719
Mailing address
8408 ARLINGTON BLVD, FAIRFAX, VA 22031-4608
(703) 462-8711
(703) 462-8719

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101050013
VA

Other

Enumeration date
06/14/2012
Last updated
06/14/2012
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