in Richmond - Neurology With Special Qualifications In Child Neurology

- NPI 1194934596

is a Neurology With Special Qualifications In Child Neurology in Richmond, Virginia. practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for is 1194934596. The last update date is .

's current location address is 2819 N Parham Rd Ste 290, Richmond, Virginia. You can contact this provider via phone number 8046585385 and fax number 8046585507. The mailing address for is 2819 N Parham Rd Ste 290, Richmond, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 2819 N Parham Rd Ste 290, Richmond, Virginia
Phone Number 8046585385
Fax Number 8046585507
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1194934596
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 2819 N Parham Rd Ste 290
City Richmond
State Virginia (VA)
Post Code 232944425
Phone Number 8046585385
Fax Number 8046585507

Provider's Primary Taxonomy Detail

Speciality Neurology With Special Qualifications In Child Neurology
Taxonomy 2084N0402X
Licence No 101247187
Definition:
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C06778 VA GROUP PTAN

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