Organization
BON SECOURS DEPAUL MEDICAL CENTER INC
Active
Other names
BON SECOURS MONARCH MEDICAL ASSOCIATES, Monarch Way Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
4211 MONARCH WAY, NORFOLK, VA 23508-2540
(757) 738-1400
(757) 489-3092
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
05/16/2019
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