<unavail> in Richmond, VA

is a primary clinic (Clinic/center) in Richmond, Virginia. The current practice location for is 1300 W Broad St, Richmond, Virginia. For appointments, you can reach them via phone at (804) 828-6315. The mailing address for is Po Box 758997, Baltimore, Maryland and phone number is () -.

is licensed to practice in Virginia (license number H1875) and its NPI number is 1548317308. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (804) 828-6315.

Contact Information


	1300 W Broad St Richmond VA 23284-9089
	(804) 828-6315
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center
Location	1300 W Broad St, Richmond, Virginia
Authorized Official Name and Position	Dominic J Puleo (CFO)
Authorized Official Contact	8048281295
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 758997 Baltimore MD 21275-0001 Ph: () -	1300 W Broad St Richmond VA 23284-9089 Ph: (804) 828-6315

NPI Details:

NPI Number	1548317308
Provider Enumeration Date	01/04/2007
Last Update Date	08/22/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548317308	NPI	-	NPPES
180914	Other		ANTHEM-VCU SPORTS MEDICIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	H1875 (Virginia)	Primary

Reviews and Comments

Clinic/Center in Richmond, VA

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7323 Boulder View Ln, Richmond, VA 23225 Phone: 804-744-5050 Fax: 804-744-8811
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5855 Bremo Rd, Suite 102, Richmond, VA 23226 Phone: 804-673-2814 Fax: 804-673-2873
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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6601 W Broad St, Richmond, VA 23230 Phone: 804-484-8891

- Primary Care in Richmond, VA