Organization
THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DODSON (CREDENTIALING MANAGER)
(443) 398-0189
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE 902, ALEXANDRIA, VA 22304-1313
(703) 370-4300
(703) 370-1683
Mailing address
4660 KENMORE AVE, SUITE 902, ALEXANDRIA, VA 22304-1313
(703) 370-4300
(703) 370-1683
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
05/21/2025
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