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Organization

COMPASSIONATE CARE PEDIATRICS, LLC

Active
Other names
Compassionate Care Peds
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS A MATOS MD (SUPERVISING PHYSICIAN)
(276) 252-1948
Entity
Organization

Contact information

Practice address
315 HOSPITAL DR, STE 101, MARTINSVILLE, VA 24112-1945
(276) 252-1948
Mailing address
315 HOSPITAL DR, STE 101, MARTINSVILLE, VA 24112-1945
(276) 252-1948

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0101056392
VA
208000000X
Pediatrics Physician
Primary
0101056392
VA

Other

Enumeration date
02/20/2017
Last updated
04/21/2017
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