| Buford Clinical Services | |
|
2608 Buford Rd North Chesterfield VA 23235-3422 | |
| (804) 272-1423 | |
| (804) 272-7967 |
| Full Name | Buford Clinical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 2608 Buford Rd, North Chesterfield, Virginia |
| Authorized Official Name and Position | Amar Patel (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9739448870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buford Clinical Services 2608 Buford Rd North Chesterfield VA 23235-3422 Ph: (804) 272-1423 | Buford Clinical Services 2608 Buford Rd North Chesterfield VA 23235-3422 Ph: (804) 272-1423 |
| NPI Number | 1518639137 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 10/26/2021 |
| Medicare PECOS PAC ID | 8325439730 |
|---|---|
| Medicare Enrollment ID | O20211220000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518639137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip C Boulanger |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083685366 PECOS PAC ID: 6507881901 Enrollment ID: I20051013000716 |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20211221000153 |
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