# BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bon Secours Pediatric Hematology/Oncology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487991618
- **Authorized official:** GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
- **Authorized official phone:** (804) 281-0271

## Contact information

- **Practice address:** 5875 BREMO RD, SUITE 104, RICHMOND, VA 23226-1934
- **Practice address phone:** (804) 281-0275
- **Practice address fax:** (804) 521-9344
- **Mailing address:** 5875 BREMO RD, SUITE 104, RICHMOND, VA 23226-1934
- **Mailing address phone:** (804) 281-0275
- **Mailing address fax:** (804) 521-9344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | NULL | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2013
- **Last updated:** 10/24/2018