Organization
MOUNTAIN VIEW INTERNAL MEDICINE AND PEDIATRICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA V HATFIELD (PRACTICE MANAGER)
(571) 248-0167
Entity
Organization
Contact information
Practice address
15195 HEATHCOAT BLVD, SUITE 330, HAYMARKET, VA 20169-6242
(571) 248-0167
(571) 248-0173
Mailing address
15195 HEATHCOAT BLVD, SUITE 330, HAYMARKET, VA 20169-6242
(571) 248-0167
(571) 248-0173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101243618
VA
208000000X
Pediatrics Physician
0101243618
VA
Other
Enumeration date
09/17/2008
Last updated
09/21/2010
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