Centreville Family Practice
NPI #1467532218 in Centreville, Virginia
Provider Information
- NPI Number
- 1467532218
- Entity Type
- Organization
- Organization Name
- Centreville Family Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13890 BRADDOCK RD
- Address 2
- SUITE 201
- City
- Centreville
- State
- Virginia
- ZIP Code
- 20121-2435
- Phone
- (703) 631-0331
Authorized Official
- Name
- RICHARD BOXLEY BOWLES, M.D.
- Title
- PRESIDENT
- Phone
- (703) 631-0331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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