The Physician and Midwife Collaborative Practice
The Physician and Midwife Collaborative Practice is an Obstetrics & Gynecology Physician in Lake Ridge, Virginia. Licensed in Virginia. Registered with an NPI since 2008.
- Licensed in
- VA
- In the registry since
- 2008
Practice location Address checks out
12508 Lake Ridge DrLake Ridge, VA 22192-2354
Phone: (703) 491-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 0101026374 (VA) |
|---|
Record details
| NPI number | 1386829794 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Giammittorio — Ceo · (703) 370-4300 |
| NPI enumerated | January 3, 2008 |
| Last updated in NPPES | January 3, 2008 |
| Mailing address | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 |