Bristow Pediatrics

NPI 1003178005 - Pediatrics - 208000000X

NPI Details
NPI 1003178005
Enumeration Date 06/14/2012
Last Updated 12/03/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GAIL LYNN GAIL
Position OWNER
Phone (571) 379-4246
Fax (540) 379-4276
Practice Location
10492 BRISTOW CENTER DR
BRISTOW VA, 20136-2202, US
Phone (571) 379-4246
Fax (540) 379-4276
Business Location
10492 BRISTOW CENTER DR
BRISTOW VA, 20136-2202, US
Phone (571) 379-4246
Fax (571) 379-4276
Toxanomy
Taxonomy Code 208000000X
License State Virginia
License Number 0101234434
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According to our database, Bristow Pediatrics NPI is 1003178005, taxonomy code is 208000000X and license number is 0101234434, license state is located at Virginia. Bristow Pediatrics physically located at 10492 Bristow Center Dr, Bristow VA, 20136-2202. NPI Number 1033115704 has the healthcare provider type.

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1003178005 NPI number is provided on an as is basis without warranty of any kind. 1003178005 is maintained by the National Plan & Provider Enumeration System. The contents of Bristow Pediatrics are for informational purposes only.