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Individual

DR. COLLEEN A BLANCHFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11490 COMMERCE PARK DR, SUITE 420, RESTON, VA 20191-1557
(703) 481-9111
(703) 707-8657
Mailing address
11490 COMMERCE PARK DR, SUITE 420, RESTON, VA 20191-1557
(703) 481-9111
(703) 707-8657

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101048338
VA
2084P0800X
Psychiatry Physician
Primary
0101048338
VA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
0101048338
VA

Other

Enumeration date
04/26/2007
Last updated
10/16/2012
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