Provider Demographics
NPI:1518936244
Name:PELFREY, DAVID ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:PELFREY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3700 FETTLER PARK DRIVE
Mailing Address - Street 2:DUMFRIES HEALTH CLINIC
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025
Mailing Address - Country:US
Mailing Address - Phone:703-441-7500
Mailing Address - Fax:434-946-2766
Practice Address - Street 1:3700 FETTLER PARK DRIVE
Practice Address - Street 2:DUMFRIES HEALTH CLINIC
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025
Practice Address - Country:US
Practice Address - Phone:703-441-7500
Practice Address - Fax:434-946-2766
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2017-04-26
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Provider Licenses
StateLicense IDTaxonomies
VA0101044523207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1518936244Medicaid
VAF58423Medicare UPIN
VA1518936244Medicaid