Individual
DR. RICHARD ALLEN BLOSSER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 JOSEPH SIEWICK DR, SUITE 401, FAIRFAX, VA 22033-1744
(703) 281-1023
(703) 620-2331
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 401, FAIRFAX, VA 22033-1744
(703) 281-1023
(703) 620-2331
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
V0101044124
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6077501
—
VA
Enumeration date
03/24/2006
Last updated
08/21/2007
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