Archway 60 Family Practice
Family Medicine in Midlothian, VA. Organization (NPI-2).
NPI number1295879328
StatusActive
Last updated in NPPESAug 28, 2007
Details
- NPI
- 1295879328
- Entity type
- Organization (NPI-2)
- Legal business name
- Archway 60 Family Practice
- Organization subpart
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Aug 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1600 Huguendt RoadSuite 121
Midlothian, VA 23113
Phone 804-378-9657 · Fax 804-378-7858
Mailing address
Po Box 247Midlothian, VA 23113
Phone 804-378-5010 · Fax 804-378-3264
Authorized official
Doris A Reid
President Owner
8043789657
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