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Physicians Radiology Body Imaging

Provider NPI: 1235109018

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
1508 WILLOW LAWN DR STE 117 RICHMOND, VA 23230-3421 US
Tel: 804-288-8102  Fax: 804-282-3744

Business Mailing Address:
1508 WILLOW LAWN DR STE 117 RICHMOND, VA 23230-3421 US
Tel: 804-288-8102  Fax: 804-282-3744

NPI Information:
NPI: 1235109018
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Body Imaging

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2085R0202X





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