| Eduardo T Tolosa Md Pc | |
|
984 Ben Bolt Ave Tazewell VA 24651-9706 | |
| (276) 988-6559 | |
| (276) 988-6550 |
| Full Name | Eduardo T Tolosa Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 984 Ben Bolt Ave, Tazewell, Virginia |
| Authorized Official Name and Position | Eduardo T Tolosa (PC PRESIDENT) |
| Authorized Official Contact | 2769886559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo T Tolosa Md Pc 984 Ben Bolt Ave P.o. Box 837 Tazewell VA 24651-9706 Ph: (276) 988-6559 | Eduardo T Tolosa Md Pc 984 Ben Bolt Ave Tazewell VA 24651-9706 Ph: (276) 988-6559 |
| NPI Number | 1871824136 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 09/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871824136 | NPI | - | NPPES |
| 1720008485 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101022191 (Virginia) | Primary |
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