| Dominion Family Physicians | |
|
4835 S Laburnum Ave Richmond VA 23231 | |
| (804) 226-4141 | |
| (804) 226-4142 |
| Full Name | Dominion Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 4835 S Laburnum Ave, Richmond, Virginia |
| Authorized Official Name and Position | George Odell Butler (DIRECTOR OF CORP RESPONSIBILITY) |
| Authorized Official Contact | 8042810271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Family Physicians 4835 S Laburnum Ave Richmond VA 23231-2713 Ph: (804) 226-4141 | Dominion Family Physicians 4835 S Laburnum Ave Richmond VA 23231 Ph: (804) 226-4141 |
| NPI Number | 1043243546 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 07/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043243546 | NPI | - | NPPES |
| CB2823 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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