Organization
DUMFRIES FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN E TORRES (OFFICE MANAGER)
(703) 441-1276
Entity
Organization
Contact information
Practice address
3783 FETTLER PARK DR, DUMFRIES, VA 22025-1946
(703) 441-1276
(703) 441-0097
Mailing address
3783 FETTLER PARK DR, DUMFRIES, VA 22025-1946
(703) 441-1276
(703) 441-0097
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
0101045677
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210772
BCBS
VA
Enumeration date
05/05/2008
Last updated
05/05/2008
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