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Organization

BLUE RIDGE ANES & PAIN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN WILCOX MD (PARTNER)
(540) 829-4100
Entity
Organization

Contact information

Practice address
501 SUNSET LANE, CULPEPER, VA 22701
(540) 829-4100
Mailing address
PO BOX 7096, STOCKTON, CA 95267
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
227234
ANTHEM BCBS
VA
01
CK5313
RAILROAD MEDICARE
VA
Enumeration date
05/18/2006
Last updated
11/02/2007
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