Individual
DR. ILDEFONSO C. MONTEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2621 GROVE AVE, RICHMOND, VA 23220-4300
(804) 254-5100
(804) 254-5187
Mailing address
PO BOX 740209, DEPT 1041, ATLANTA, GA 30374-0209
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
010122334
VA
Other
Enumeration date
03/31/2006
Last updated
05/05/2009
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