Organization
SCOTT BURGE OD PC
Active
Other names
Dr. Scott Burge, O.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DOUGLAS BURGE O.D. (PRESIDENT)
(703) 821-1616
Entity
Organization
Contact information
Practice address
1471 CHAIN BRIDGE RD, MC LEAN, VA 22101-5722
(703) 821-1616
Mailing address
1471 CHAIN BRIDGE RD, MC LEAN, VA 22101-5722
(703) 821-1616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601000890
VA
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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