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Individual

JOHN PHILLIP ESSEPIAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3031 JAVIER RD STE 300, FAIRFAX, VA 22031-4638
(703) 698-8880
(703) 698-8884
Mailing address
3031 JAVIER RD, STE 300, FAIRFAX, VA 22031-4637
(703) 698-8880
(703) 698-8884

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101051247
VA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
0101051247
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101051247
MEDICAL LICENSE
VA
Enumeration date
04/11/2007
Last updated
02/24/2019
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