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Organization

F J PEPPER MD PC

Active
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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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