Olympia P Dallas MD

NPI 1043243728 - Specialist - 174400000X

NPI Details
NPI 1043243728
Gender Female
Enumeration Date 07/08/2006
Last Updated 10/11/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4400 UNIVERSITY DR
MS 2D3 GEORGE MASON UNIVERSITY STUDENT HEALTH
FAIRFAX VA, 22030, US
Phone (703) 993-2807
Fax (703) 993-4365
Business Location
4400 UNIVERSITY DR
MS 2D3 GEORGE MASON UNIVERSITY STUDENT HEALTH
FAIRFAX VA, 22030, US
Phone (703) 993-2807
Fax (703) 993-4365
Toxanomy
Taxonomy Code 174400000X
License State Virginia
License Number 0101033600
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According to our database, Dr. Olympia P Dallas MD NPI is 1043243728, taxonomy code is 174400000X and license number is 0101033600, license state is located at Virginia. Olympia P Dallas MD physically located at 4400 University Dr, Fairfax VA, 22030. NPI Number Olympia P Dallas MD has the Individual type.

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1043243728 NPI number is provided on an as is basis without warranty of any kind. 1043243728 is maintained by the National Plan & Provider Enumeration System. The contents of Olympia P Dallas MD are for informational purposes only.