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Individual

ERIC FURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5504 BACKLICK RD, SPRINGFIELD, VA 22151
(703) 941-9552
(703) 642-1422
Mailing address
5504 BACKLICK RD, SPRINGFIELD, VA 22151
(703) 941-9552
(703) 642-1422

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
47737
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005860181
VA
Enumeration date
08/30/2006
Last updated
11/01/2012
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