Philip Charles Boulanger | |
9401 Fernleigh Dr Richmond VA 23235-1311 | |
(804) 389-2606 | |
(804) 747-0643 |
Full Name | Philip Charles Boulanger |
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Speciality | General Practice |
Location | 9401 Fernleigh Dr, Richmond, Virginia |
Authorized Official Name and Position | Philip Charles Boulanger (OWNER/PRESIDENT) |
Authorized Official Contact | 8043892606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Philip Charles Boulanger 9401 Fernleigh Dr Richmond VA 23235-1311 Ph: (804) 389-2606 | Philip Charles Boulanger 9401 Fernleigh Dr Richmond VA 23235-1311 Ph: (804) 389-2606 |
NPI Number | 1144429564 |
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Provider Enumeration Date | 07/16/2007 |
Last Update Date | 06/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144429564 | NPI | - | NPPES |
190001514 | Other | VA | MEDICARE GROUP# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | 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 | |