| Bon Secours Neurology Clinic | |
|
11601 Iron Bridge Rd Ste 207 Chester VA 23831-1468 | |
| (804) 285-6880 | |
| (804) 706-1585 |
| Full Name | Bon Secours Neurology Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 11601 Iron Bridge Rd Ste 207, Chester, Virginia |
| Authorized Official Name and Position | Stephan Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Neurology Clinic 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Bon Secours Neurology Clinic 11601 Iron Bridge Rd Ste 207 Chester VA 23831-1468 Ph: (804) 285-6880 |
| NPI Number | 1811228711 |
|---|---|
| Provider Enumeration Date | 01/18/2010 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811228711 | NPI | - | NPPES |
| C09633 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Virginia) | Primary |
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