Organization
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Active
Other names
Breast Center of Fairfax
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MASTERS (CCO)
(703) 698-4444
Entity
Organization
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 200, FAIRFAX, VA 22031-4515
(703) 698-4488
Mailing address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4416
(703) 698-4444
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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