Shiloh Family Medicine PC
NPI #1750462735 in Alexandria, Virginia
Provider Information
- NPI Number
- 1750462735
- Entity Type
- Organization
- Organization Name
- Shiloh Family Medicine PC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5249 DUKE ST
- Address 2
- SUITE 102
- City
- Alexandria
- State
- Virginia
- ZIP Code
- 22304-2926
- Phone
- (703) 823-3660
Authorized Official
- Name
- DR. BRADLEY RICHARD WARE, M.D.
- Title
- PRESIDENT/CEO
- Phone
- (703) 823-3660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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