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Individual

DR. WILFORD IRA MILLS IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4605
Mailing address
2209 PERSIMMON TREK, HENRICO, VA 23233-2724
(804) 747-1542

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101245387
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255594719
VA
01
12655333
CAQH
VA
01
232562
BCBS VA
VA
Enumeration date
07/04/2008
Last updated
02/16/2022
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