Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Physicians of Old Town Fairfax PC

Organization Family Medicine Physician · NPI 1366570400

Family Physicians of Old Town Fairfax PC is a Family Medicine Physician in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3911 Blenheim Blvd Ste 41C
Fairfax, VA 22030-2434
Phone: (703) 352-7100
Fax: (703) 539-8579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101043356 (VA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X

Record details

NPI number1366570400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Leonard — Medical Director · (703) 352-7100
Other names David D. Leonard, M.D. Pc; David D. Leonard, M.D. Pc
NPI enumeratedMarch 1, 2007
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address3911 Blenheim Blvd Ste 41c, Fairfax, VA 22030-2434

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