Organization
CHESTERFIELD OPHTHALMOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M BUSCH DO (PRESIDENT)
(804) 739-2220
Entity
Organization
Contact information
Practice address
2385 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
(804) 739-2220
(804) 739-2164
Mailing address
2385 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
(804) 739-2220
(804) 739-2164
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0102037038
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006343295
—
VA
Enumeration date
07/08/2006
Last updated
11/29/2007
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