Commonwealth Primary Care
Family Medicine in Richmond, VA. Organization (NPI-2).
NPI number1174530257
StatusActive
Last updated in NPPESNov 28, 2007
Details
- NPI
- 1174530257
- Entity type
- Organization (NPI-2)
- Legal business name
- Commonwealth Primary Care
- Organization subpart
- No
- Enumeration date
- Aug 2, 2006
- Last updated
- Nov 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Patterson Avenue Family Practice (Doing Business As)
Practice location
10431 Patterson AveRichmond, VA 23233
Phone 804-741-6200 · Fax 804-545-0147
Mailing address
8002 Discovery DriveSuite 410
Richmond, VA 23229
Phone 804-288-0399 · Fax 804-285-0088
Authorized official
Cheryl Daniel
Billing Administrator
8042880399
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