FREDERICKSBURG 2 VA CLINIC (3912)    INSTITUTION (4)

Name Value
NAME FREDERICKSBURG 2 VA CLINIC
STATE VIRGINIA
STREET ADDR. 1 10401 SPOTSYLVANIA AVE, SUITE 300
CITY FREDERICKSBURG
ZIP 22408-8606
OFFICIAL VA NAME FREDERICKSBURG 2 VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME FREDERICKSBURG 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2016-02-16 00:00:00
    STATUS:   ACTIVE
    NPI:   1790145167
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 652GB