| Meridian Independent Physician Group Llc | |
|
7 Planters Pl Stafford VA 22554-8507 | |
| (540) 845-9499 | |
| Not Available |
| Full Name | Meridian Independent Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7 Planters Pl, Stafford, Virginia |
| Authorized Official Name and Position | Robert Alexander (OWNER) |
| Authorized Official Contact | 5408459499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Independent Physician Group Llc 7 Planters Pl Stafford VA 22554-8507 Ph: (540) 845-9499 | Meridian Independent Physician Group Llc 7 Planters Pl Stafford VA 22554-8507 Ph: (540) 845-9499 |
| NPI Number | 1336538222 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 04/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336538222 | NPI | - | NPPES |
| 1336538222 | Medicaid | VA | |
| 1336538222 | Other | VA | ANTHEM |
| E455 | Other | VA | MEDICAREPTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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