Organization
FAMILY MEDICINE IN FALLS CHURCH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON WALKER THEISZ M.D. (PRESIDENT)
(703) 533-7555
Entity
Organization
Contact information
Practice address
124 E BROAD ST STE A, FALLS CHURCH, VA 22046-4530
(703) 533-7555
(703) 533-7797
Mailing address
124 E BROAD ST STE A, FALLS CHURCH, VA 22046-4530
(703) 533-7555
(703) 533-7797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101102617
VA
Other
Enumeration date
11/15/2006
Last updated
01/19/2023
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