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Individual

JAMES CISEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9600 PATTERSON AVE, RICHMOND, VA 23229-6053
(804) 741-6200
(804) 741-6213
Mailing address
9600 PATTERSON AVE, RICHMOND, VA 23229-6053
(804) 741-6200
(804) 741-6213

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101056520
VA
207P00000X
Emergency Medicine Physician
28752
WI
207P00000X
Emergency Medicine Physician
Primary
4301049796
MI
208D00000X
General Practice Physician
0101056520
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005809088
VA
05
005811333
VA
05
005812861
VA
05
005813182
VA
05
005864402
VA
05
005883628
VA
01
C06695
GROUP PTAN
VA
01
C06778
GROUP PTAN
VA
Enumeration date
07/17/2006
Last updated
11/21/2019
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