Family Physicians of Old Town Fairfax Pc.

NPI #1366570400 in Fairfax, Virginia

Provider Information

NPI Number: 1366570400
Entity Type: Organization
Organization Name: Family Physicians of Old Town Fairfax Pc.
Primary Specialty: Family Medicine
Enumeration Date: Mar 1, 2007
Last Updated: Mar 8, 2023

Practice Location

Address: 3911 BLENHEIM BLVD STE 41C
City: Fairfax
State: Virginia
ZIP Code: 22030-2434
Phone: (703) 352-7100

Authorized Official

Name: DR. DAVID DRAKE LEONARD, M.D.
Title: MEDICAL DIRECTOR
Phone: (703) 352-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Family Medicine	207Q00000X	Primary

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