Individual
DR. SANDRA M CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10418 WHITEHEAD ST, FAIRFAX, VA 22030-2504
(703) 273-5205
(703) 273-1235
Mailing address
10418 WHITEHEAD ST, FAIRFAX, VA 22030-2504
(703) 273-5205
(703) 273-1235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101022464
VA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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