Organization
SPRINGFIELD PRIMARY AND WALK IN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YARED W ENDAILALU M.D. (DR.)
(703) 646-4841
Entity
Organization
Contact information
Practice address
8316 TRAFORD LN, UNIT B, SPRINGFIELD, VA 22152-1654
(703) 646-4841
Mailing address
8316 TRAFORD LN, UNIT B, SPRINGFIELD, VA 22152-1654
(703) 646-4841
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
0101254201
VA
261QP2300X
Primary Care Clinic/Center
Primary
0101254201
VA
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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