Organization
SHENANDOAH ONCOLOGY ASSOC PC
Active
Organization
SHENANDOAH ONCOLOGY ASSOC PC
Active
Other names
RICHARD M INGRAM MD
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD INGRAM (ASST SECRETARY)
(540) 662-1108
Entity
Organization
Contact information
Practice address
1870 AMHERST ST, WINCHESTER, VA 22601-2873
(540) 662-1108
(540) 667-3408
Mailing address
1870 AMHERST ST, WINCHESTER, VA 22601-2873
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
0101055301
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4839241
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/23/2006
Last updated
08/22/2020
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