NPI 1679804900
Dominion Urological Consultants
Practice location
- Address
- 8503 Arlington Boulevard #310, Fairfax, VA 22031
- Phone
- (703) 208-4200
- Fax
- (703) 876-1799
Authorised official
- Name
- Simon Chung
- Title
- Managing Physician
- Phone
- (703) 208-4200
Registered specialties
Urology Physician
Primary
Registry record
- NPI
- 1679804900
- Entity type
- Organization
- NPI issued
- 27 Jan 2010
- Record last updated
- 27 Jan 2010
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.