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Organization

FAMILY PHYSICIANS OF OLD TOWN FAIRFAX PC.

Active
Other names
David D. Leonard, M.D. PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID DRAKE LEONARD M.D. (MEDICAL DIRECTOR)
(703) 352-7100
Entity
Organization

Contact information

Practice address
3911 BLENHEIM BLVD STE 41C, FAIRFAX, VA 22030-2434
(703) 352-7100
(703) 539-8579
Mailing address
3911 BLENHEIM BLVD STE 41C, FAIRFAX, VA 22030-2434
(703) 352-7100
(703) 539-8579

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101043356
VA
207QG0300X
Geriatric Medicine (Family Medicine) Physician

Other

Enumeration date
03/01/2007
Last updated
03/08/2023
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