Organization
RICHMOND URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED A MOUSTAFA (PRESIDENT)
(616) 717-8642
Entity
Organization
Contact information
Practice address
3420 GAYTON MEADOWS TERRACE, RICHMOND, VA 23233
(804) 615-5060
(804) 364-3520
Mailing address
3420 GAYTON MEADOWS TER, RICHMOND, VA 23233-6647
(804) 615-5060
(804) 364-3520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243031
VA
Other
Enumeration date
10/05/2010
Last updated
03/09/2011
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