Organization
NEUROLOGY CENTER OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERNAN TAPIA GATUSLAO JR. M.D. (NEUROLOGIST/MEMBER)
(804) 302-4400
Entity
Organization
Contact information
Practice address
2436 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4281
(804) 302-4400
(804) 601-2515
Mailing address
16718 KIPPER TURN, MOSELEY, VA 23120-2222
(804) 302-4400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/01/2008
Last updated
04/27/2012
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