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>> Hospitalist >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1295140051

Individual Registrant:
Gender: M
Sole Proprietor

Location and contact information for practice:
Tel: 804-443-3311  Fax: 804-443-6150

Contact information for business:
Tel: (75-7) -316-5900  Fax: 757-534-5190

Registration Information:
NPI: 1295140051
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208M00000XAllopathic & Osteopathic Physicians

Legacy codes, insurance codes and state license numbers:



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