Organization
NORTHERN VIRGINIA CENTER FOR GASTROINTESTINAL ENDOSCOPY,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN SNIVELY (PRACTICE ADMINISTRATOR)
(703) 716-8700
Entity
Organization
Contact information
Practice address
3914 CENTREVILLE RD, SUITE 350, CHANTILLY, VA 20151-3289
(703) 716-8700
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 308, FAIRFAX, VA 22033-1744
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
09/20/2007
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