Individual
DR. ERIC BRUCE ALLELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10924 BLUE ROAN RD, OAKTON, VA 22124-1901
(571) 214-6550
Mailing address
10924 BLUE ROAN RD, OAKTON, VA 22124-1901
(571) 214-6550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD16154
DC
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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