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Individual

DR. PATRICIA J BURKWALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7001 FOREST AVE, SUITE 302, RICHMOND, VA 23230-1726
(804) 282-2655
(804) 282-1793
Mailing address
7001 FOREST AVE, SUITE 302, RICHMOND, VA 23230-1726
(804) 282-2655
(804) 282-1793

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101233493
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015245P63
MEDICARE PROVIDER NUMBER
VA
Enumeration date
01/06/2006
Last updated
12/29/2009
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