Organization
ALTIUS FAMILY AND SPORTS MEDICINE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WALTER MARCHAL M.D. (PHYSICIAN/OWNER)
(804) 290-0593
Entity
Organization
Contact information
Practice address
2530 GASKINS RD, SUITE A, RICHMOND, VA 23238-1483
(804) 290-0593
(804) 290-0594
Mailing address
2530 GASKINS RD, SUITE A, RICHMOND, VA 23238-1483
(804) 290-0593
(804) 290-0594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
437410
AETNA
—
Enumeration date
04/27/2006
Last updated
04/20/2008
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