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Organization
ALTIUS FAMILY AND SPORTS MEDICINE, PLC
Active
Organization
ALTIUS FAMILY AND SPORTS MEDICINE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WALTER MARCHAL M.D. (PHYSICIAN/OWNER)
(804) 290-0593
Entity
Organization
Contact information
Practice address
2530 GASKINS RD, SUITE A, RICHMOND, VA 23238-1483
(804) 290-0593
(804) 290-0594
Mailing address
2530 GASKINS RD, SUITE A, RICHMOND, VA 23238-1483
(804) 290-0593
(804) 290-0594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
437410
AETNA
—
Enumeration date
04/27/2006
Last updated
04/20/2008
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