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Individual

TRUDY L RICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7605 FOREST AVE, STE 109, RICHMOND, VA 23229-4938
(804) 285-6390
(804) 285-6393
Mailing address
1603 SANTA ROSA RD, RM 102, RICHMOND, VA 23229-5010
(804) 288-6750
(805) 288-6753

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101230946
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028052
CIGNA
VA
01
141841
SOUTHERN HEALTH
VA
01
218557
ANTHEM BLUE CROSS
VA
01
295546
MAMSI
VA
01
33843
CARENET
VA
01
541497804
TRICARE CHAMPUS
VA
05
5859476
VA
01
7273281
AETNA
VA
Enumeration date
06/23/2005
Last updated
08/31/2015
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