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Physicians Obstetrics & Gynecology Gynecologic Oncology

Provider NPI: 1902197288

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 804-828-9080  Fax: 804-828-3891

Business Mailing Address:
PO BOX 91734  RICHMOND, VA 23291-1734 US
Tel: 804-358-6100  Fax: 804-342-7619

NPI Information:
NPI: 1902197288
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Obstetrics & Gynecology
Gynecologic Oncology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207VX0201X





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