| NPI | 1104959097 |
|---|---|
| Doing Business As | FAIRFAX PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | PEGGY TRACHTE Business Office Director 425-284-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-12-12 |