Individual
KEIFER PATRICK WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
24008 BELLEAU AVE, STAFFORD, VA 22556
(703) 432-6389
Mailing address
24008 BELLEAU AVE, STAFFORD, VA 22556
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207Q00000X
Family Medicine Physician
0102208533
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0102208533
VA
Other
Enumeration date
03/12/2020
Last updated
12/31/2024
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