Individual
IVIA J SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8110 MIDLOTHIAN TPKE, RICHMOND, VA 23235-5116
(804) 320-8160
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101053336
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5631360
—
VA
Enumeration date
02/17/2006
Last updated
03/07/2018
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