| Dominion Neurological Services Llc | |
|
8740 Landmark Rd Richmond VA 23228-2802 | |
| (804) 592-4905 | |
| (804) 592-4909 |
| Full Name | Dominion Neurological Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8740 Landmark Rd, Richmond, Virginia |
| Authorized Official Name and Position | Cletus C Aralu (PRESIDENT) |
| Authorized Official Contact | 8045924905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Neurological Services Llc 8740 Landmark Rd Richmond VA 23228-2802 Ph: (804) 592-4905 | Dominion Neurological Services Llc 8740 Landmark Rd Richmond VA 23228-2802 Ph: (804) 592-4905 |
| NPI Number | 1720314677 |
|---|---|
| Provider Enumeration Date | 10/28/2009 |
| Last Update Date | 04/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720314677 | NPI | - | NPPES |
| 1598728461 | Other | VA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0101231341 (Virginia) | Primary |
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