Individual
OMAR PHILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11240 WAPLES MILL RD, #202, FAIRFAX, VA 22030-6078
(703) 237-2219
Mailing address
11240 WAPLES MILL RD, #202, FAIRFAX, VA 22030-6078
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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