Bull Run Family Practice, P.c.

NPI 1396745972 - Family Medicine - 207Q00000X

NPI Details
NPI 1396745972
Enumeration Date 07/26/2005
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DAVID DAVID
Position PRACTICE ADMINISTRATOR
Phone (703) 367-5732
Fax (703) 368-2498
Practice Location
8640 SUDLEY RD
SUITE 203
MANASSAS VA, 20110-4420, US
Phone (703) 367-5732
Fax (703) 368-2498
Business Location
8640 SUDLEY RD
SUITE 203
MANASSAS VA, 20110-4420, US
Phone (703) 367-5732
Fax (703) 368-2498
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number =========
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According to our database, Bull Run Family Practice, P.c. NPI is 1396745972, taxonomy code is 207Q00000X and license number is =========, license state is located at Virginia. Bull Run Family Practice, P.c. physically located at 8640 Sudley Rd, Manassas VA, 20110-4420. NPI Number 1033115704 has the healthcare provider type.

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1396745972 NPI number is provided on an as is basis without warranty of any kind. 1396745972 is maintained by the National Plan & Provider Enumeration System. The contents of Bull Run Family Practice, P.c. are for informational purposes only.