Individual
MR. BERNHARD J URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPT
Contact information
Practice address
12704 JEFFERSON DAVIS HWY, CHESTER, VA 23831-5369
(804) 237-9195
Mailing address
12704 JEFFERSON DAVIS HWY, CHESTER, VA 23831-5369
(804) 237-9195
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002897
VA
Other
Enumeration date
12/03/2011
Last updated
12/03/2011
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