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5875 Bremo Rd Ste 306 Richmond VA 23226-1934 | |
(804) 287-7322 | |
(804) 281-8380 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 5875 Bremo Rd Ste 306, Richmond, Virginia |
Authorized Official Name and Position | Stephen Quiriconi (CFO) |
Authorized Official Contact | 8042818301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | 5875 Bremo Rd Ste 306 Richmond VA 23226-1934 Ph: (804) 287-7322 |
NPI Number | 1538317078 |
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Provider Enumeration Date | 09/08/2008 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
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1538317078 | NPI | - | NPPES |
C06778 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 0101048009 (Virginia) | Primary |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |