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Organization

VIRGINIA EAR, NOSE AND THROAT ASSOCIATES

Active
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Organization

VIRGINIA EAR, NOSE AND THROAT ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY T WEST (DIRECTOR OF REVENUE CYCLE MGMT)
(804) 484-3700
Entity
Organization

Contact information

Practice address
161 WADSWORTH DR, RICHMOND, VA 23236-4500
(804) 484-3700
(804) 320-6462
Mailing address
PO BOX 36007, RICHMOND, VA 23235-8000
(804) 484-3700
(804) 320-6462

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177066
ANTHEM
VA
01
—
737597
AETNA
VA
Enumeration date
05/05/2008
Last updated
11/18/2021
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