Organization
F J PEPPER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
F J PEPPER MD (PRESIDENT SOLE PROPRIETOR)
(703) 823-2311
Entity
Organization
Contact information
Practice address
4600 DUKE ST, SUITE 424, ALEXANDRIA, VA 22304-2578
(703) 823-2311
(703) 823-2429
Mailing address
4600 DUKE ST, SUITE 424, ALEXANDRIA, VA 22304-2578
(703) 823-2311
(703) 823-2429
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
0101019747
VA
2084P0800X
Psychiatry Physician
Primary
0101019747
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7133201
—
VA
Enumeration date
04/10/2007
Last updated
09/10/2007
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