Individual
STEPHANIE L BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
7858 SHRADER RD, RICHMOND, VA 23294-4222
(804) 270-1305
(804) 273-9294
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004748
VA
363AS0400X
Surgical Physician Assistant
0110004748
VA
Other
Enumeration date
10/09/2012
Last updated
04/23/2020
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