| Internal Medicine & Pediatric | |
|
6433 Centralia Rd Chesterfield VA 23832-6556 | |
| (804) 425-3627 | |
| (804) 425-7679 |
| Full Name | Internal Medicine & Pediatric |
|---|---|
| Speciality | Internal Medicine |
| Location | 6433 Centralia Rd, Chesterfield, Virginia |
| Authorized Official Name and Position | Darren S Witte (MANAGING MEMBER) |
| Authorized Official Contact | 8044253627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Pediatric 6433 Centralia Rd Chesterfield VA 23832-6556 Ph: (804) 425-3627 | Internal Medicine & Pediatric 6433 Centralia Rd Chesterfield VA 23832-6556 Ph: (804) 425-3627 |
| NPI Number | 1467411314 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467411314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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