AVICENNA MEDICAL CLINIC, INC.

NPI # 

Practice Address:

50 S Pickett Street , Suite # 221

Alexandria, VA, 22304-2922

Practice Phone:

703-751-7331

Practice Fax:

703-751-2524

License Number:

0101041949

License State:

VA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Health Service

Taxonomy Code:

261QH0100X