Organization
FAIR OAKS EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JONES MD (GROUP HEAD)
(571) 239-0788
Entity
Organization
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3996
(703) 391-3094
Mailing address
PO BOX 734980, CHICAGO, IL 60673-4980
(703) 631-1745
(703) 662-4803
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB5359
RAILROAD MEDICARE
—
Enumeration date
07/09/2006
Last updated
05/04/2023
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