Organization
FULLER ROBERTS OB-GYN AND PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUC TRIEU M.D. (OWNER / M.D.)
(434) 572-8921
Entity
Organization
Contact information
Practice address
2212 WILBORN AVE, SOUTH BOSTON, VA 24592-1630
(434) 572-8921
Mailing address
2212 WILBORN AVE, SOUTH BOSTON, VA 24592-1630
(434) 572-8921
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101239403
VA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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