NPI 1003042268

Ian Edwin Dick, PAC

Practitioner Physician Assistant Fairfax, VA

Practice location

Address: 9404a Main St, Fairfax, VA 22031-4032
Phone: (571) 404-6974
Fax: (571) 604-6975
Mailing address: PO Box 791775, Baltimore, MD 21279-1775

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0110004431 (VA)

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Registry record

NPI: 1003042268
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2009
Record last updated: 5 May 2026

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.