Search › Virginia › 363A00000X
Phornphan Homiak, PA-C
NPI 1942488374 · on the registry since 2008
Practice
- Address
- 6035 Burke Centre Pkwy
Suite 120
Burke, VA 22015 - Phone
- (703) 425-6010
- Fax
- (703) 425-7504
- Organisation at this address
- Allergy Partners, Pllc
Kristen Donohue Dmd Pc
Alexandria Sports, Inc.
Alex Mcmillan Iv Dds Pc
Stephen T Lanier Dds LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- NC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia