Tricare Medical Group, PC

NPI #1417142167 in Falls Church, Virginia

Provider Information

NPI Number
1417142167
Entity Type
Organization
Organization Name
Tricare Medical Group, PC
Primary Specialty
Internal Medicine
Enumeration Date
Sep 6, 2007
Last Updated
Nov 10, 2011

Practice Location

Address
5985 COLUMBIA PIKE
Address 2
SUITE 102
ZIP Code
22041-2043
Phone
(703) 578-0707

Authorized Official

Name
TRI PHAM, MD
Title
PRESIDENT
Phone
(703) 578-0707

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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