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Organization

VALLEY PHYSICIAN ENTERPRISE, INC.

Active
Parent organization
VALLEY PHYSICIAN ENTERPRISE, INC.
Other names
Winchester Cardiology and Vascular Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
VALLEY PHYSICIAN ENTERPRISE, INC.
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization

Contact information

Practice address
1880 AMHERST STREET, WINCHESTER, VA 22601
(540) 662-0306
(855) 264-2066
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
VA
2086S0129X
Vascular Surgery Physician
VA

Other

Enumeration date
03/02/2018
Last updated
12/17/2021
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