| Valley Physician Enterprise, Inc. | |
|
125 Medical Cir Ste A Winchester VA 22601-3322 | |
| (540) 667-1828 | |
| (540) 722-6207 |
| Full Name | Valley Physician Enterprise, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 125 Medical Cir Ste A, Winchester, Virginia |
| Authorized Official Name and Position | Renee Nevada Johnson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5405360103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Physician Enterprise, Inc. 220 Campus Blvd Ste 100 Winchester VA 22601-2888 Ph: (540) 536-5100 | Valley Physician Enterprise, Inc. 125 Medical Cir Ste A Winchester VA 22601-3322 Ph: (540) 667-1828 |
| NPI Number | 1194348441 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194348441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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