| Ironbridge Family Practice | |
|
11601 Iron Bridge Rd Suite 117 Chester VA 23831 | |
| (804) 717-5300 | |
| (804) 748-7269 |
| Full Name | Ironbridge Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 11601 Iron Bridge Rd, Chester, Virginia |
| Authorized Official Name and Position | George O. Butler (DIR., CORPORATE RESPONSIBILITY) |
| Authorized Official Contact | 8042810271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ironbridge Family Practice 11601 Iron Bridge Rd Suite 117 Chester VA 23831-1466 Ph: (804) 717-5300 | Ironbridge Family Practice 11601 Iron Bridge Rd Suite 117 Chester VA 23831 Ph: (804) 717-5300 |
| NPI Number | 1316970882 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 07/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316970882 | NPI | - | NPPES |
| CI1391 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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