Individual
DR. ARTHUR Y FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC PHD OMD
Contact information
Practice address
8214 OLD COURTHOUSE ROAD, VIENNA, VA 22182
(703) 499-4428
(703) 547-8197
Mailing address
7607 LEDFORD STREET, SUITE 101, FALLS CHURCH, VA 22043
(703) 499-4428
(703) 893-1602
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000278
VA
171100000X
Acupuncturist
AC30091
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J3980001
CAREFIRST BCBS
—
Enumeration date
11/27/2006
Last updated
07/08/2007
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