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Damon J Licari, PA
Physician Assistant in Fairfax, Virginia
NPI 1962495069

Damon J Licari is a Physician Assistant based in Baltimore, VA. Damon J Licari practices in Fairfax, VA and has the professional credentials of PA. The NPI Number for Damon J Licari is 1962495069 and holds a License No. 0110001250 (Virginia).

The current practice location address for Damon J Licari is 8081 Innovation Park Dr Ste 602, Fairfax, VA and can be reached out via phone at 571-472-3270 and via fax at 571-472-3271. You can also correspond with Damon J Licari through the mailing address at PO BOX 37174, BALTIMORE, MD - 21297-3174 (mailing address contact number: 571-423-5699).

Location: 8081 Innovation Park Dr Ste 602, Fairfax, VA, 21297-3174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962495069
Provider Name
Damon J Licari
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
8081 Innovation Park Dr Ste 602, Fairfax, VA, 21297-3174
Phone Number
571-472-3270
Fax Number
571-472-3271
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP0624 05 SC
institution
Provider Business Practice Location Address Details
Address
8081 Innovation Park Dr Ste 602
City
Fairfax
State
Virginia
Zip
22031-4867
Phone Number
571-472-3270
Fax Number
571-472-3271
person
Provider Business Mailing Address Details
Address
8081 Innovation Park Dr Ste 602
City
Fairfax
State
Virginia
Zip
22031-4867
Phone Number
571-472-3270
Fax Number
571-472-3271
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0110001250 (Virginia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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