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Dr. Olympia P Dallas, MD
Specialist in Fairfax, Virginia
NPI 1043243728

Olympia P Dallas is a Specialist based in Fairfax, VA. Olympia P Dallas practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Olympia P Dallas is 1043243728 and holds a License No. 0101033600 (Virginia).

The current practice location address for Olympia P Dallas is 4400 University Dr, Fairfax, VA and can be reached out via phone at 703-993-2807 and via fax at 703-993-4365.

Location: 4400 University Dr, Fairfax, VA, 22030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043243728
Provider Name
Olympia P Dallas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4400 University Dr, Fairfax, VA, 22030
Phone Number
703-993-2807
Fax Number
703-993-4365
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0101033600 01 VA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
4400 University Dr
City
Fairfax
State
Virginia
Zip
22030
Phone Number
703-993-2807
Fax Number
703-993-4365
person
Provider Business Mailing Address Details
Address
4400 University Dr
City
Fairfax
State
Virginia
Zip
22030
Phone Number
703-993-2807
Fax Number
703-993-4365
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101033600 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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