Individual
DR. MARY TERESA PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9105 STONY POINT PKWY, RICHMOND, VA 23235-1979
(804) 287-1030
(804) 288-3529
Mailing address
9105 STONY POINT PKWY, RICHMOND, VA 23235-1979
(804) 287-1030
(804) 288-3529
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
0101241543
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205059359
—
VA
Enumeration date
04/10/2007
Last updated
03/21/2008
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