Individual
JOHN PHILLIP ROSS PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VCUHS DEPARTMENT OF MEDICINE-PEDIATRICS RESIDENCY, 417 N 11TH ST, RICHMOND, VA 23298
(804) 828-6685
Mailing address
VCUHS GME ADMINISTRATION, BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116036502
VA
208000000X
Pediatrics Physician
0116036502
VA
Other
Enumeration date
02/10/2022
Last updated
07/03/2025
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