Organization
KIDMED INC.
Active
Parent organization
KIDMED INC.
Other names
KidMed Stafford
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDMED INC.
Authorized official
DR. MARK A FLANZENBAUM MD (PRESIDENT)
(804) 592-5437
Entity
Organization
Contact information
Practice address
20 DOC STONE RD, STAFFORD, VA 22556-4515
(804) 647-2240
Mailing address
20 DOC STONE RD, STAFFORD, VA 22556-4515
(804) 647-2240
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
08/30/2023
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