Individual
EDMUND WINSTON TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
Mailing address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101035458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006381511
—
VA
01
—
180011807
MEDICARE RAILROAD
—
Enumeration date
09/16/2006
Last updated
03/12/2009
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