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Organization
VIRGINIA EAR NOSE & THROAT ASSOCIATES PC
Active
Organization
VIRGINIA EAR NOSE & THROAT ASSOCIATES PC
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, NORTH CHESTERFIELD, VA 23236-4500
(804) 484-3700
(804) 320-6462
Mailing address
PO BOX 36007, NORTH CHESTERFIELD, 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
—
089983
ANTHEM
VA
01
—
737597
AETNA
VA
Enumeration date
11/30/2005
Last updated
11/18/2021
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