Individual
DR. SCOTT D GULLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL STREET, PEDIATRICS, RICHMOND, VA 23298-0646
(804) 828-3744
(804) 828-6455
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
0101049555
VA
Other
Enumeration date
09/07/2006
Last updated
09/02/2015
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