Individual
EILEEN C WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8316 ARLINGTON BLVD STE 330, FAIRFAX, VA 22031-5205
(571) 999-9378
(571) 349-8885
Mailing address
8316 ARLINGTON BLVD STE 330, FAIRFAX, VA 22031-5205
(571) 999-9378
(571) 349-8885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22715
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101259288
VIRGINIA BOARD OF MEDICAL LICENSURE
VA
Enumeration date
03/17/2006
Last updated
01/06/2020
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