Organization
EAR NOSE AND THROAT SPECIALIST OF CENTRAL VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH L. TAYLOR (ADMINISTRATOR)
(804) 288-4121
Entity
Organization
Contact information
Practice address
1800 GLENSIDE DR STE 120, RICHMOND, VA 23226-3769
(804) 288-4121
(804) 282-1833
Mailing address
1800 GLENSIDE DR STE 120, RICHMOND, VA 23226-3769
(804) 288-4121
(804) 282-1833
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
VA
Other
Enumeration date
02/13/2006
Last updated
07/31/2014
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