Organization
BON SECOURS DEPAUL MEDICAL CENTER INC
Active
Other names
Bon Secours Vein and Vascular Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
930 W 21ST ST STE 100, NORFOLK, VA 23517-1516
(757) 943-3030
(757) 943-3099
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
05/16/2019
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