Organization
SPRINGFIELD BURKE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M PHILLIPS (BILLLING & CREDENTIALING SPECIALIST)
(703) 971-1676
Entity
Organization
Contact information
Practice address
8991 COTSWOLD DRIVE, BURKE, VA 22015
(703) 440-0107
(703) 440-8246
Mailing address
8991 COTSWOLD DRIVE, BURKE, VA 22015
(703) 440-0107
(703) 440-8246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
10/07/2009
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