Organization
BON SECOURS-VIRGINIA HEALTHSOURCE INC
Active
Other names
Bon Secours Sleep Disorders Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
8266 ATLEE RD STE 229, MECHANICSVILLE, VA 23116-1811
(804) 764-7491
(804) 764-7495
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
0101030755
VA
Other
Enumeration date
06/09/2008
Last updated
08/30/2019
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