Organization
CARDINAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITRA HAFEZI MD (PHYSICIAN)
(540) 216-7776
Entity
Organization
Contact information
Practice address
436 HOSPITAL DR, WARRENTON, VA 20186-3026
(540) 216-7776
Mailing address
436 HOSPITAL DR, WARRENTON, VA 20186-3026
(540) 216-7776
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
10/12/2022
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