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Organization

INDEPENDENT ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD GARDNER MITCHELL M.D. (VICE PRESIDENT)
(804) 282-3114
Entity
Organization

Contact information

Practice address
7605 FOREST AVE, STE 211, RICHMOND, VA 23229-4938
(804) 282-3114
(804) 285-9723
Mailing address
7605 FOREST AVE, STE 211, RICHMOND, VA 23229-4938
(804) 282-3114
(804) 285-9723

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
10/11/2006
Last updated
06/20/2011
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