Individual
EMILY J GODBOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(804) 828-2467
(804) 628-5509
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
0102204153
VA
Other
Enumeration date
06/01/2012
Last updated
01/18/2019
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