Individual
HAZEL J VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7001 FOREST AVE STE 300, RICHMOND, VA 23230-1726
(804) 282-0831
(804) 288-7135
Mailing address
7001 FOREST AVE STE 300, RICHMOND, VA 23230-1726
(804) 282-0831
(804) 288-7135
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101044250
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5940541
—
VA
Enumeration date
03/24/2006
Last updated
07/06/2010
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