Provider First Line Business Practice Location Address:
5999 BURKE COMMONS RD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE BURKE MEDICAL CENTER
Provider Business Practice Location Address City Name:
BURKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22015-2808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-208-6283
Provider Business Practice Location Address Fax Number:
703-207-2838
Provider Enumeration Date:
12/11/2006