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Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
Active
Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
Active
Parent organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
Other names
RICHMOND DIABETES AND ENDOCRINOLOGY, Richmond Diabetes and Endocrinology - Bon Secours Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
8266 ATLEE RD STE 332, MECHANICSVILLE, VA 23116-1812
(804) 764-7686
(804) 764-7689
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/24/2019
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