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Organization

BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC

Active
Other names
Bon Secours Capitol OB/GYN
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization

Contact information

Practice address
1510 N 28TH ST STE 305, RICHMOND, VA 23223-5311
(804) 371-1689
(804) 371-1678
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1912209149
GROUP NPI
VA
Enumeration date
09/14/2017
Last updated
07/10/2019
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