Provider Demographics
NPI:1063667566
Name:ALFERS, CORY (DO)
Entity Type:Individual
Prefix:DR
First Name:CORY
Middle Name:
Last Name:ALFERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2000 15TH ST N
Mailing Address - Street 2:SUITE G2-100
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2683
Mailing Address - Country:US
Mailing Address - Phone:703-232-1743
Mailing Address - Fax:703-552-3210
Practice Address - Street 1:2000 15TH ST N
Practice Address - Street 2:SUITE G2-100
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2683
Practice Address - Country:US
Practice Address - Phone:703-232-1743
Practice Address - Fax:703-552-3210
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01022028132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry