Medical Center Radiologists INC
Physician Assistant in Norfolk, VA. Organization (NPI-2).
NPI number1164054276
StatusActive
Last updated in NPPESFeb 6, 2020
Details
- NPI
- 1164054276
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Center Radiologists INC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2020
- Certification date
- Feb 6, 2020
- Last updated
- Feb 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
600 Gresham DrNorfolk, VA 23507-1904
Phone 757-338-3231
Mailing address
5544 Greenwich RdVirginia Beach, VA 23462-6563
Phone 757-466-0089
Authorized official
Richard J Thomas
President
7574660089
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