Organization
CENTRAL VIRGINIA ASSOCIATES OF SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH FOXX M.D. (MEMBER)
(804) 503-6879
Entity
Organization
Contact information
Practice address
1109 W MARSHALL ST, RICHMOND, VA 23220-3835
(804) 503-6879
(804) 325-1425
Mailing address
PO BOX 25703, RICHMOND, VA 23260-5703
(804) 503-6879
(804) 325-1425
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101240105
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083725527
—
VA
Enumeration date
03/01/2010
Last updated
04/26/2010
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