Individual
STEVEN G FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2800 WELLFORD ST, SUITE 100, FREDERICKSBURG, VA 22401-3176
(540) 361-1830
Mailing address
2800 WELLFORD ST, SUITE 100, FREDERICKSBURG, VA 22401-3176
(540) 361-1830
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110840508
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008951225
—
VA
01
—
0110840508
LICENSE
VA
01
—
C02375
MEDICARE GROUP
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
Enumeration date
09/20/2006
Last updated
04/08/2010
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