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Individual

VAN NGOC PHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6003 LEEBURG PIKE, FALLS CHURCH, VA 22041
(703) 575-7980
(703) 575-7981
Mailing address
6003 LEEBURG PIKE, FALLS CHURCH, VA 22041

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101035696
VA

Other

Enumeration date
08/27/2008
Last updated
11/14/2008
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