Organization
VIRGINIA GYNECOLOGISTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECA B GRIMM (OFFICE MANAGER)
(703) 281-5007
Entity
Organization
Contact information
Practice address
410 MAPLE AVE W, VIENNA, VA 22180-4240
(703) 281-5007
(703) 281-3491
Mailing address
410 MAPLE AVE W, VIENNA, VA 22180-4240
(703) 281-5007
(703) 281-3491
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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