Organization
ALLIANCE MEDICAL GROUP
Active
Organization
ALLIANCE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK MERCER (CREDENTIALING SPECIALIST)
(571) 430-5951
Entity
Organization
Contact information
Practice address
8013 COLORADO SPRINGS DR, SPRINGFIELD, VA 22153-2751
(571) 430-5951
Mailing address
8013 COLORADO SPRINGS DR, SPRINGFIELD, VA 22153-2751
(571) 430-5951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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