Organization
GREAT FALLS MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIEU VAN HO M.D. (MEDICAL DIRECTOR)
(703) 534-3331
Entity
Organization
Contact information
Practice address
1142 WALKER RD STE C, GREAT FALLS, VA 22066-1836
(703) 534-3331
(703) 534-0704
Mailing address
1142 WALKER RD STE C, GREAT FALLS, VA 22066-1836
(703) 534-3331
(703) 534-0704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101244972
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447479498
—
VA
Enumeration date
03/25/2013
Last updated
03/25/2013
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