NPI 1003178005

Bristow Pediatrics

Organisation Pediatrics Physician Bristow, VA

Practice location

Address: 10492 Bristow Center Dr, Bristow, VA 20136-2202
Phone: (571) 379-4246
Fax: (540) 379-4276

Authorised official

Name: Gail Lynn Dolan
Title: Owner
Phone: (571) 379-4246

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 0101234434 (VA)

Other Pediatrics providers in Virginia →

Registry record

NPI: 1003178005
Entity type: Organization
NPI issued: 14 Jun 2012
Record last updated: 3 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.