Individual
DR. BO POULSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
727 N MAIN ST, EMPORIA, VA 23847-1274
(434) 348-4500
(434) 348-4506
Mailing address
8717 GREENFORD DR, RICHMOND, VA 23294-6130
(804) 270-3072
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101239075
VA
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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