Individual
PHYLLIS JEAN DREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9683-A MAIN STREET, FAIRFAX, VA 22031-3755
(703) 426-4900
(704) 426-4955
Mailing address
9683-A MAIN STREET, FAIRFAX, VA 22031-3755
(703) 426-4900
(704) 426-4955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101046952
VA
Other
Enumeration date
12/04/2007
Last updated
11/08/2011
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