Organization
ADVANCE MEDICAL GI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN BLOSSER MD (PROVIDER/OWNER)
(703) 281-1023
Entity
Organization
Contact information
Practice address
3975 FAIR RIDGE DR STE N300, FAIRFAX, VA 22033-2928
(702) 766-2600
Mailing address
3975 FAIR RIDGE DR STE N300, FAIRFAX, VA 22033-2928
(702) 766-2600
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
09/09/2022
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