Raul Barroso, DO | |
2137 Lakeside Dr, Lynchburg, VA 24501-6806 | |
(434) 404-7200 | |
(434) 385-8616 |
Full Name | Raul Barroso |
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Gender | Male |
Speciality | Pediatrics |
Location | 2137 Lakeside Dr, Lynchburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275681736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0102206665 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
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Raul Barroso, DO 2137 Lakeside Dr, Lynchburg, VA 24501-6806 Ph: (434) 404-7200 | Raul Barroso, DO 2137 Lakeside Dr, Lynchburg, VA 24501-6806 Ph: (434) 404-7200 |
Morgan S Mandeville, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Richeson Dr, Lynchburg, VA 24501 Phone: 434-385-7776 Fax: 434-385-5846 | |
John B Arnold, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1212 Mcconville Road, Lynchburg, VA 24502 Phone: 434-237-8886 Fax: 434-239-6807 | |
Denise L Fenton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1212 Mcconville Road, Lynchburg, VA 24502 Phone: 434-237-8886 Fax: 434-239-6807 | |
Robert Skyler Mccurley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 121 Mcconville Road, Lynchburg, VA 24502 Phone: 434-237-8886 Fax: 434-239-6807 | |
Dr. Richard C Morris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Richeson Dr, Lynchburg, VA 24501 Phone: 434-385-7776 Fax: 434-385-5846 | |
Bradley S Malcolm, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Richeson Dr, Lynchburg, VA 24501 Phone: 434-385-7776 Fax: 434-385-5846 |