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1417142167
TRICARE MEDICAL GROUP, PC
FALLS CHURCH, VA
NPI
1417142167
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Entity Type
Organization
Authorized Contact
TRI PHAM
President
703-578-0707
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101235759)
Enumeration Date
2007-09-06
Last Update Date
2011-11-10
Business Address
TRICARE MEDICAL GROUP, PC
5985 COLUMBIA PIKE SUITE 102
FALLS CHURCH, VA 22041-2043
Phone number: 703-578-0707
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Mailing Address
TRICARE MEDICAL GROUP, PC
5985 COLUMBIA PIKE SUITE 102
FALLS CHURCH, VA 22041
Phone number: 703-578-0707
Copy
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