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Individual

RICHARD SHANE PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
306 CAMBRIDGE ST, FREDERICKSBURG, VA 22405-1400
(540) 371-7372
(540) 371-3002
Mailing address
306 CAMBRIDGE ST, FREDERICKSBURG, VA 22405-1400
(540) 371-7372
(540) 371-3002

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101235589
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010046416
VA
Enumeration date
10/20/2005
Last updated
07/22/2015
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