Organization
PEDIATRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOB A ARCHULETA M.D. (PRESIDENT CEO)
(804) 320-7139
Entity
Organization
Contact information
Practice address
1001 HIOAKS RD, RICHMOND, VA 23225-4029
(804) 320-7139
(804) 323-0153
Mailing address
1001 HIOAKS RD, RICHMOND, VA 23225-4029
(804) 320-7139
(804) 323-0153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
VA
174400000X
Specialist
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6707882
—
VA
Enumeration date
03/20/2006
Last updated
09/23/2020
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