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The Physician And Midwife Collaborative Practice
Obstetrics & Gynecology Physician in Lake Ridge, Virginia
NPI 1386829794

The Physician And Midwife Collaborative Practice is a Obstetrics & Gynecology Physician based in Alexandria, VA. The Physician And Midwife Collaborative Practice practices in Lake Ridge, VA. The NPI Number for The Physician And Midwife Collaborative Practice is 1386829794 and holds a License No. 0101026374 (Virginia).

The current practice location address for The Physician And Midwife Collaborative Practice is 12508 Lake Ridge Dr, Lake Ridge, VA and can be reached out via phone at 703-491-1122.

Location: 12508 Lake Ridge Dr, Lake Ridge, VA, 22304-1313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386829794
Provider Name
The Physician And Midwife Collaborative Practice
Credential
Provider Entity Type
Organization
Address
12508 Lake Ridge Dr, Lake Ridge, VA, 22304-1313
Phone Number
703-491-1122
Fax Number
Provider Enumeration Date
01/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G00252 01 VA MEDICARE
institution
Provider Business Practice Location Address Details
Address
12508 Lake Ridge Dr
City
Lake Ridge
State
Virginia
Zip
22192-2354
Phone Number
703-491-1122
Fax Number
person
Provider Business Mailing Address Details
Address
12508 Lake Ridge Dr
City
Lake Ridge
State
Virginia
Zip
22192-2354
Phone Number
703-491-1122
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
0101026374 (Virginia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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