Bristow Pediatrics

NPI #1003178005 in Bristow, Virginia

Provider Information

NPI Number: 1003178005
Entity Type: Organization
Organization Name: Bristow Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jun 14, 2012
Last Updated: Dec 3, 2013

Practice Location

Address: 10492 BRISTOW CENTER DR
City: Bristow
State: Virginia
ZIP Code: 20136-2202
Phone: (571) 379-4246

Authorized Official

Name: DR. GAIL LYNN DOLAN, M.D.
Title: OWNER
Phone: (571) 379-4246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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