Springfield Burke Family Practice

NPI #1811064041 in Burke, Virginia

Provider Information

NPI Number: 1811064041
Entity Type: Organization
Organization Name: Springfield Burke Family Practice
Primary Specialty: Family Medicine
Enumeration Date: Nov 30, 2006
Last Updated: Oct 7, 2009

Practice Location

Address: 8991 COTSWOLD DRIVE
City: Burke
State: Virginia
ZIP Code: 22015
Phone: (703) 440-0107

Authorized Official

Name: MRS. LISA M PHILLIPS
Title: BILLLING & CREDENTIALING SPECIALIST
Phone: (703) 971-1676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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