Unknown Individual – General Practice Physician, NPI 1063402576
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Farrell Road, Fort Belvoir South Post, Fort Belvoir, Virginia, 22060, United States
FORT BELVOIR, VA 220605901
Phone: (703) 805-0536
Fax: (703) 805-0512
Type: Location
2501, North Stevens Street, Washington Forest, John Adams, Alexandria West, Alexandria, Virginia, 22311, United States
ALEXANDRIA, VA 223111510
Phone: (703) 671-1147
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22060)
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