Virginia Functional Medicine, INC

NPI #1194011783 in Vienna, Virginia

Provider Information

NPI Number: 1194011783
Entity Type: Organization
Organization Name: Virginia Functional Medicine, INC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 22, 2011
Last Updated: Jan 18, 2024

Practice Location

Address: 410 PINE ST SE
Address 2: SUITE 320
City: Vienna
State: Virginia
ZIP Code: 22180-4861
Phone: (703) 938-1421

Authorized Official

Name: MR. KAJ O CHRISTENSEN
Title: VP
Phone: (703) 938-1421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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