Organization
EUDOC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DENG QIU MD (OWNER)
(804) 362-7307
Entity
Organization
Contact information
Practice address
1520 HUGUENOT RD STE 114, MIDLOTHIAN, VA 23113-2477
(804) 372-3461
Mailing address
14364 ALTAVISTA BLVD, MIDLOTHIAN, VA 23114-6832
(703) 321-6386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/11/2022
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