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Organization

MCV ASSOCIATED PHYSICIANS

Active
Parent organization
MCV ASSOCIATED PHYSICIANS
Other names
MCV Physicians
Organization subpart
Yes

Provider details

NPI number
Legal business name
MCV ASSOCIATED PHYSICIANS
Authorized official
EVELYN C HOUCHENS CPMSM CPCS (DIRECTOR MEDICAL STAFF SERVICES)
(804) 828-8707
Entity
Organization

Contact information

Practice address
1250 E MARSHALL STREET, DERMATOLOGY, RICHMOND, VA 23298-0510
(804) 828-0300
(804) 828-9596
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5734371
VA
Enumeration date
05/28/2008
Last updated
05/28/2008
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