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Organization

ARCHWAY 60 FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DORIS A REID MD (PRESIDENT OWNER)
(804) 378-9657
Entity
Organization

Contact information

Practice address
1600 HUGUENDT ROAD, SUITE 121, MIDLOTHIAN, VA 23113
(804) 378-9657
(804) 378-7858
Mailing address
PO BOX 247, MIDLOTHIAN, VA 23113
(804) 378-5010
(804) 378-3264

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0056331Z5
VA
01
33361Z
ANTHEM
VA
Enumeration date
02/20/2007
Last updated
08/28/2007
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